Individual
ANNA R MCNANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-4375
(952) 993-1586
(952) 993-3213
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-4375
(952) 993-1586
(952) 993-3213
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
52687
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02777420
—
NY
01
—
187468CK
PREFERRED CARE
NY
01
—
P00866685
RAILROAD MEDICARE
MN
Enumeration date
08/08/2006
Last updated
04/21/2014
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