Individual
DR. WILLIAM DAVID MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2615 EAST FRANKLIN AVE, UFP SMILEY'S CLINIC, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55406
(612) 333-0770
Mailing address
2615 EAST FRANKLIN AVE, UFP SMILEY'S CLINIC, UNIVERSITY OF MN PHYSICIANS, MINNEAPOLIS, MN 55406
(612) 333-0770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17751
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-09659
MEDICA CHOICE
—
01
—
1011064
PREFERRED ONE
—
01
—
114700
UCARE
—
05
—
1938175
—
IA
01
—
299J2MA
BLUE CROSS BLUE SHIELD
—
05
—
34311400
—
WI
01
—
894137
ARAZ
—
01
—
HP18753
HEALTH PARTNERS
—
Enumeration date
10/20/2006
Last updated
07/08/2007
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