Individual
DR. JAMES P MANTZARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8611 W POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-4005
(651) 458-1884
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53813
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2008
Last updated
03/11/2021
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