Individual
DR. LARRY G. MANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17705 HUTCHINS DR, SUITE 101, MINNETONKA, MN 55345-4145
(952) 401-8300
(952) 401-8246
Mailing address
17705 HUTCHINS DR, SUITE 101, MINNETONKA, MN 55345-4145
(952) 401-8300
(952) 401-8246
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42337
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649612100
—
MN
Enumeration date
03/02/2006
Last updated
04/23/2008
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