James P Mantzaris in Cottage Grove - Student In An Organized Health Care Education/training Program
James P Mantzaris - NPI 1285893594
James P Mantzaris is a Student In An Organized Health Care Education/training Program in Cottage Grove, Minnesota. James P Mantzaris practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for James P Mantzaris is 1285893594. The last update date is 2021-03-11.
James P Mantzaris's current location address is 8611 W Point Douglas Rd S, Cottage Grove, Minnesota. You can contact this provider via phone number 6514581884. The mailing address for James P Mantzaris is 8611 W Point Douglas Rd S, Cottage Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James P Mantzaris |
|---|---|
| Address | 8611 W Point Douglas Rd S, Cottage Grove, Minnesota |
| Phone Number | 6514581884 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1285893594 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 8611 W Point Douglas Rd S |
|---|---|
| City | Cottage Grove |
| State | Minnesota (MN) |
| Post Code | 550164005 |
| Phone Number | 6514581884 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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What is the James P Mantzaris's unique identification number?
The James P Mantzaris has been assigned the NPI (National Provider Identifier) Number 1285893594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of James P Mantzaris?
The James P Mantzaris is situated at 8611 W Point Douglas Rd S, in the city of Cottage Grove, state of MN, with the zip code 550164005.
What is the James P Mantzaris's specialty and taxonomy code?
The James P Mantzaris's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.
On what date did the James P Mantzaris receive its 1285893594 assignment from the Centers for Medicare & Medicaid Services?
The James P Mantzaris was assigned its 1285893594 by the Centers for Medicare & Medicaid Services on 2008-06-03.
When was the information regarding James P Mantzaris, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James P Mantzaris, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-11.
NPI Number: 1902809924
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