Individual
DESTINY M MILLER-MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
714 LINCOLN ST. NE, LE MARS, IA 51031-3314
(712) 546-3492
(712) 546-3352
Mailing address
714 LINCOLN ST. NE, LE MARS, IA 51031-3314
(712) 546-3492
(712) 546-3352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-11054
IA
Other
Enumeration date
06/27/2017
Last updated
08/12/2022
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