Nicole Marie Manduzzi
Nicole Marie Manduzzi is a Physician Assistant in Holt, Michigan. Qualified in 2023, 3 years ago. Practices with McLaren Medical Group, a 247-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 3
- Licensed in
- MI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2073 Aurelius RdHolt, MI 48842-1331
Phone: (517) 694-1466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601011890 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (MI) |
Record details
| NPI number | 1538890025 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 23, 2022 |
| Last updated in NPPES | January 2, 2024 |
| Certification date | January 2, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | McLaren Medical Group — 247 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Holt
-
Shabir Barkzai, PA-S2
2597 Martina Dr Apt 15, Holt, MI 48842-1164 · (858) 952-9976
-
Holly Nieusma, DO
4378 Holt Rd, Holt, MI 48842-1634 · (517) 694-1466