MD Daniel Mark Mankoff, NPI 1306803010
Interventional Pain Medicine Physician in Grand Rapids, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306803010
NPI Entity Type Individual
Provider Name MD Daniel Mark Mankoff
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4100 Lake Dr Se, Suite 305, Grand Rapids, MI, US
Provider Mailing Address 61 Commerce Ave Sw, Grand Rapids, MI, US, 495034124
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208VP0014X

Taxonomy Name Interventional Pain Medicine Physician
Classification

Pain Medicine

Group

Allopathic & Osteopathic Physicians

License No. 4301044741
License State MI
Description Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Business Address

MD Daniel Mark Mankoff
4100 Lake Dr Se
Suite 305

Grand Rapids, MI, US

Phone: 616-285-1377
Fax: 616-285-1006

Mailing Address

MD Daniel Mark Mankoff
61 Commerce Ave Sw
Grand Rapids, MI, US
ZIP 495034124
Phone: 616-940-0660
Fax: 616-940-1965

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4592429-10 MI MEDICAID 05
550410219 MI BCBSM 01
5205950-10 MI MEDICAID 05
4532260-10 MI MEDICAID 05
4552942-10 MI MEDICAID 05

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NPI Name Taxonomy Address

1659096923

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Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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