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Individual
JUAN CARLOS MANIVEL
Active
Individual
JUAN CARLOS MANIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
29459
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039975
—
MT
05
—
0515908
—
IA
01
—
1009228
PREFERRED ONE NUMBER
MN
01
—
101364
UCARE NO.
MN
01
—
1122550
MEDICA CHOICE NUMBER
MN
01
—
1174545
MEDICA DUAL SOLUTIONS NO.
MN
01
—
2T224MA
BCBS MN NUMBER
MN
05
—
32455000
—
WI
05
—
719205300
—
MN
01
—
768244
AMERICA'S PPO NUMBER
MN
01
—
HP22293
HEALTHPARTNERS NUMBER
MN
Enumeration date
10/26/2006
Last updated
07/09/2007
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