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Individual

DR. SARAH MANALANSAN MANNEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5700 BOTTINEAU BLVD, #210, CRYSTAL, MN 55429-3183
(763) 587-7000
(763) 587-7015
Mailing address
5700 BOTTINEAU BLVD, #210, CRYSTAL, MN 55429-3183
(763) 587-7000
(763) 587-7015

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45050
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0703468
MEDICA #
MN
01
1034191
PREFERRED ONE
MN
01
171112
UCARE MN
MN
01
1797934
AMERICA'S PPO
MN
01
351J1MA
BCBS OF MN
MN
05
702605600
MN
01
7613467
AETNA INS
MN
01
HP38103
HEALTHPARTNERS
MN
Enumeration date
07/02/2006
Last updated
06/30/2022
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