Most Relevant Information
Provider Data
| NPI Number: | 1003430877 |
| Provider Name: | CORY ERIC MANOOGIAN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 5101027970 |
Most Important Dates
| Enumeration Date: | 06/08/2020 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
50 N PERRY ST
PONTIAC
MI
483422217
Practice Location Phone/Fax
| Phone: | 2483848130 |
| Fax: | 2486252622 |
Provider Mailing Location
5701 BOW POINTE DR STE 100
CLARKSTON
MI
483463199
Provider Mailing Phone/Fax
| Phone: | 2489222683 |
| Fax: | 2486252622 |
Suggested EMR
Psychiatry EMR