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NPI Code Detail

MEDICARE: DR. RACHEL ANN MANN MD

MEDICARE: DR. RACHEL ANN MANN MD
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
1208800000XUrology Physician77697MN
2208800000XUrology Physician1016619MA

General Provider Information

NPI Number : 1548757909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL ANN MANN MD
Provider Business Mailing Address
First Line : 6401 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55435-2199
Country : US
Telephone Number : 952-924-5000
Fax Number :
Provider Business Practice Location Address
First Line : 6401 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55435-2199
Country : US
Telephone Number : 952-924-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2018
Last Update Date : 07/29/2024

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