Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthopedic Sports Medicine of Manistee PLLC

Organization Orthopaedic Surgery Physician · NPI 1689321010

Orthopedic Sports Medicine of Manistee PLLC is an Orthopaedic Surgery Physician in Manistee, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3234 County Line Rd W
Manistee, MI 49660-9519
Phone: (917) 545-0789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1689321010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Dangelo — Physician · (917) 545-0789
NPI enumeratedMarch 5, 2022
Last updated in NPPESMarch 5, 2022
Certification dateMarch 5, 2022
Mailing address3234 County Line Rd W, Manistee, MI 49660-9519

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