Virginia M Mandac in Anoka - Adult Medicine

Virginia M Mandac - NPI 1902971609

Virginia M Mandac is a Adult Medicine in Anoka, Minnesota. Virginia M Mandac practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Virginia M Mandac is 1902971609. The last update date is 2007-07-08.

Virginia M Mandac's current location address is 3301 7th Ave, Anoka, Minnesota. You can contact this provider via phone number 7637124000 and fax number 7637124013. The mailing address for Virginia M Mandac is 3301 7th Ave, Anoka, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Virginia M Mandac
Address 3301 7th Ave, Anoka, Minnesota
Phone Number 7637124000
Fax Number 7637124013
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1902971609
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3301 7th Ave
City Anoka
State Minnesota (MN)
Post Code 553034516
Phone Number 7637124000
Fax Number 7637124013

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No 21850
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

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FAQs about Virginia M Mandac

What is the unique 10-digit identifier code assigned to Virginia M Mandac by the Centers for Medicare & Medicaid Services?

The Virginia M Mandac has been issued the NPI (National Provider Identifier) 1902971609 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Virginia M Mandac is physically located?

The Virginia M Mandac is situated at the following address: 3301 7Th Ave, Anoka, MN 553034516.

What is Virginia M Mandac's area of expertise and its corresponding taxonomy classification?

The Virginia M Mandac's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902971609 to Virginia M Mandac?

The Centers for Medicare & Medicaid Services originally issued the 1902971609 to Virginia M Mandac on 2006-11-21.

When was the Virginia M Mandac's information last updated?

The Virginia M Mandac's information was last updated on 2007-07-08.

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