# MANUEL R MORAN

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

## Provider details

- **NPI number:** 1669971735
- **Authorized official:** DR. MANUEL R MORAN MD (PRESIDENT)
- **Authorized official phone:** (320) 249-9588

## Contact information

- **Practice address:** 1526 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
- **Practice address phone:** (320) 251-8385
- **Mailing address:** 32286 COUNTY ROAD 1, SAINT CLOUD, MN 56303-9560
- **Mailing address phone:** (320) 249-9588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 34332 | MN | Yes |

## Other

- **Enumeration date:** 02/05/2018
- **Last updated:** 02/05/2018