MEDICARE: SHAWNEE ROSE MANGINO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301010648	MI

General Provider Information

NPI Number	:	1356844310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNEE ROSE MANGINO DC

Provider Business Mailing Address
First Line	:	214 W WACKERLY ST
Second Line	:	STE 100
City	:	MIDLAND
State	:	MI
Zip	:	48640-2795
Country	:	US
Telephone Number	:	989-837-5998
Fax Number	:	989-835-9632

Provider Business Practice Location Address
First Line	:	214 W WACKERLY ST STE 100
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48640-2795
Country	:	US
Telephone Number	:	989-837-5998
Fax Number	:	989-835-9632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2018
Last Update Date	:	03/28/2018

Similar Medicare Providers

1164108320 — KAYLEE CONROY LMSW
Practice Location Address:

214 W WACKERLY ST STE 200
MIDLAND, MI
48640-2795

Practice Phone: 989-272-3812
Practice Fax: 989-203-5525

1497703763 — DR. ANNE-MARIE TAYLOR ZAWADZKI D.C.
Practice Location Address:

214 W WACKERLY ST , SUITE 100
MIDLAND, MI
48640-2795

Practice Phone: 989-837-5998
Practice Fax: 989-835-9632

1265783369 — DR. CORBIN CODY FOX D.C.
Practice Location Address:

214 W WACKERLY ST , SUITE 100
MIDLAND, MI
48640-2795

Practice Phone: 989-837-5998
Practice Fax: 989-835-9632

1215483805 — NICOLE RYAN SCHRAM LPC
Practice Location Address:

214 W WACKERLY ST STE 200
MIDLAND, MI
48640-2795

Practice Phone: 989-832-2165
Practice Fax: 989-839-4376

1790223576 — CLAIRE CROWE LMSW
Practice Location Address:

214 W WACKERLY ST STE 200
MIDLAND, MI
48640-2795

Practice Phone: 989-272-3812
Practice Fax:

1346755642 — AMANDA CLAIRE EBERBACH
Practice Location Address:

214 W WACKERLY ST STE 200
MIDLAND, MI
48640-2795

Practice Phone: 989-272-3812
Practice Fax:

Directions to “ SHAWNEE ROSE MANGINO DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.