# THOMAS F MANGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346229200
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 27348 | MN | Yes |
| 207RG0100X | Gastroenterology Physician | 46147 | AZ | — |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 02/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 091328600 | — | MN |
| 01 | — | 110153181 | RAILROAD MEDICARE | MN |
| 05 | — | 763907 | — | AZ |