Timothy Mangold in Saint Cloud - Medical

Timothy Mangold - NPI 1043370315

Timothy Mangold is a Medical in Saint Cloud, Minnesota. Timothy Mangold practices all healthcare services and medical treatments related to Medical. The NPI Number for Timothy Mangold is 1043370315. The last update date is 2021-06-17.

Timothy Mangold's current location address is 1301 33rd St S, Saint Cloud, Minnesota. You can contact this provider via phone number 3202518181. The mailing address for Timothy Mangold is 1301 33rd St S, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Mangold
Address 1301 33rd St S, Saint Cloud, Minnesota
Phone Number 3202518181
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1043370315
Provider Enumeration Date 2006-12-09
Last Updated Date 2021-06-17

Provider Mailing Address Detail

Address 1301 33rd St S
City Saint Cloud
State Minnesota (MN)
Post Code 563019668
Phone Number 3202518181
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 2420
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Timothy Mangold

What is the unique identifier code issued to Timothy Mangold by the Centers for Medicare & Medicaid Services?

The Timothy Mangold has been assigned the NPI (National Provider Identifier) 1043370315. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Timothy Mangold's facilities are situated?

The facilities of Timothy Mangold are physically located at the following address: 1301 33Rd St S, Saint Cloud, MN, 563019668.

What is the area of specialization for Timothy Mangold, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Timothy Mangold is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Timothy Mangold receive its 1043370315 assignment from the Centers for Medicare & Medicaid Services?

The Timothy Mangold was assigned its 1043370315 by the Centers for Medicare & Medicaid Services on 2006-12-09.

As of what date was the information regarding Timothy Mangold, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Timothy Mangold, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-17.

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