# MICHAEL MANKARIOUS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083606693
- **Authorized official:** DR. MICHAEL NASR MANKARIOUS MD (MD)
- **Authorized official phone:** (563) 243-5601

## Contact information

- **Practice address:** 638 S BLUFF BLVD, CLINTON, IA 52732-4742
- **Practice address phone:** (563) 243-5601
- **Practice address fax:** (563) 243-5637
- **Mailing address:** 638 S BLUFF BLVD, CLINTON, IA 52732-4742
- **Mailing address phone:** (563) 243-5601
- **Mailing address fax:** (563) 243-5637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IA | Yes |

## Other

- **Enumeration date:** 08/19/2005
- **Last updated:** 07/21/2022
