Individual provider · Type 1 NPI
David Paul Mandziara, CNIM
Electroneurodiagnostic Specialist/Technologist · Wyoming, MI
NPI number
1659987196
Active
Practice location
5900 Byron Center Ave SW
Wyoming, MI 49519-9686
Mailing address
45211 Helm St
Plymouth, MI 48170-6023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1659987196
David Paul Mandziara, CNIM's National Provider Identifier is 1659987196, issued on Sep 21, 2020. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Wyoming, MI. The record was last updated on May 2, 2025.