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NPI Code Detail

MEDICARE: MANLI JIANG M.D

MEDICARE:   MANLI  JIANG  M.D
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
1207U00000XNuclear Medicine Physician54455MN

General Provider Information

NPI Number : 1821252305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANLI JIANG M.D
Provider Business Mailing Address
First Line : 2450 SALEM HEIGHTS LN, SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902
Country : US
Telephone Number : 646-491-3767
Fax Number :
Provider Business Practice Location Address
First Line : 3257 19TH ST NW STE 3
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-6797
Country : US
Telephone Number : 507-722-8606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2008
Last Update Date : 02/20/2024

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