Individual
PATRICK L MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2445 DIRECTORS ROW STE C, INDIANAPOLIS, IN 46241-4936
(317) 941-7338
Mailing address
2445 DIRECTORS ROW STE C, INDIANAPOLIS, IN 46241-4936
(317) 941-7338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003150A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300046250
—
IN
Enumeration date
12/16/2020
Last updated
01/18/2024
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