Gayathri N Manickam, M.D. Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Detroit, MI

NPI

1932319753

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

4301085440 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-23

Last updated

2023-11-03