Benjamin Carl Mannix JR., M.D.

NPI #1942235346 in La Porte, Indiana

Provider Information

NPI Number: 1942235346
Entity Type: Individual
Name: Benjamin Carl Mannix JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Jul 12, 2006
Last Updated: Dec 9, 2014

Practice Location

Address: 1300 STATE ST
Address 2: STE. 1-F
City: La Porte
State: Indiana
ZIP Code: 46350-3185
Phone: (219) 362-6297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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