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Individual

DR. MAURA MARIE MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
480 S 3RD ST, COLUMBUS, OH 43215-5702
(614) 512-9665
Mailing address
480 S 3RD ST, COLUMBUS, OH 43215-5702
(614) 512-9665

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34077714M
OH
207P00000X
Emergency Medicine Physician
Primary
35.077714
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35.077714
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000244441
BCBS MARION
OH
01
000000316695
BCBS FOR BUCYRUS
OH
05
2178656
OH
Enumeration date
04/25/2006
Last updated
02/07/2024
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