David O Manigold in Ottawa - Internal Medicine
David O Manigold - NPI 1346299641
David O Manigold is a Internal Medicine in Ottawa, Illinois. David O Manigold practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David O Manigold is 1346299641. The last update date is 2012-09-10.
David O Manigold's current location address is 1614 E Norris Dr, Ottawa, Illinois. You can contact this provider via phone number 8154331010 and fax number 8154330067. The mailing address for David O Manigold is 1614 E Norris Dr, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | David O Manigold |
---|---|
Address | 1614 E Norris Dr, Ottawa, Illinois |
Phone Number | 8154331010 |
Fax Number | 8154330067 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1346299641 |
---|---|
Provider Enumeration Date | 2006-05-06 |
Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
Address | 1614 E Norris Dr |
---|---|
City | Ottawa |
State | Illinois (IL) |
Post Code | 613503681 |
Phone Number | 8154331010 |
Fax Number | 8154330067 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
---|---|
Taxonomy | 207R00000X |
Licence No | 036-061968 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36061968 | IL | -- | |
13149 | HEALTH ALLIANCE |
Post Comment/ Review Below
What is the unique identification code assigned to David O Manigold by the Centers for Medicare & Medicaid Services?
The David O Manigold has been issued the NPI (National Provider Identifier) 1346299641. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David O Manigold?
The David O Manigold is situated at 1614 E Norris Dr, in the city of Ottawa, state of IL, with the zip code 613503681.
What is the David O Manigold's specialty and taxonomy code?
The David O Manigold's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date was the 1346299641 assigned to David O Manigold?
The David O Manigold was issued its 1346299641 on 2006-05-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to David O Manigold most recently updated or refreshed?
The details pertaining to the David O Manigold, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-10.