Individual
MADELINE MANGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR STE 1300, SAINT CLOUD, MN 56303-5000
(320) 654-3610
Mailing address
1900 CENTRACARE CIR STE 1300, SAINT CLOUD, MN 56303-5000
(320) 654-3610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
76974
MN
390200000X
Student in an Organized Health Care Education/Training Program
9147
NE
Other
Enumeration date
06/24/2021
Last updated
09/17/2024
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