NPI 1003814500
John a Mannik, OD
Practice location
- Address
- 1088 S Bailey Ave Suite B, South Haven, MI 49090-9728
- Phone
- (269) 637-1442
- Fax
- (269) 637-3801
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1003814500
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jul 2005
- Record last updated
- 19 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.