Individual
DR. ANN M MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(952) 936-6666
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(952) 936-6666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01059564A
IN
208000000X
Pediatrics Physician
35419
IA
208000000X
Pediatrics Physician
64647
AZ
208000000X
Pediatrics Physician
Primary
CDRH46983
CO
208000000X
Pediatrics Physician
MD2013-0216
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341033
ANTHEM PROVIDER NUMBER
IN
05
—
200227110A
—
OK
05
—
200494220
—
IN
05
—
200590150A
—
KS
05
—
29822751
—
CO
05
—
39396301
—
AZ
05
—
64228789
—
NM
05
—
7725980
—
SD
01
—
9397260
PHCS PID NUMBER
IN
Enumeration date
03/15/2006
Last updated
10/21/2023
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