Organization
MICHAEL MANKARIOUS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NASR MANKARIOUS MD (MD)
(563) 243-5601
Entity
Organization
Contact information
Practice address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5601
(563) 243-5637
Mailing address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5601
(563) 243-5637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134759
—
IA
01
—
53221
WELLMARK BC/BS
IA
Enumeration date
08/19/2005
Last updated
07/21/2022
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