Individual
DR. DANIEL MARK MAMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9875 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
(612) 322-6903
Mailing address
9325 UPLAND LN N STE 360, MAPLE GROVE, MN 55369-4463
(612) 322-6903
(763) 416-0158
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2019022985
MO
Other
Enumeration date
06/19/2016
Last updated
07/14/2023
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