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

Michael Mangum

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184412462

Michael Mangum is a Student in an Organized Health Care Education/Training Program in Jackson, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184412462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 18, 2025
Mailing address965 Wilson Rd, East Lansing, MI 48824-6410

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