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Individual
THOMAS F MANGAN
Active
Individual
THOMAS F MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27348
MN
207RG0100X
Gastroenterology Physician
46147
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091328600
—
MN
01
—
110153181
RAILROAD MEDICARE
MN
05
—
763907
—
AZ
Enumeration date
01/10/2006
Last updated
02/24/2014
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