Individual
THOMAS F MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27348
MN
207RG0100X
Gastroenterology Physician
46147
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091328600
—
MN
01
—
110153181
RAILROAD MEDICARE
MN
05
—
763907
—
AZ
Enumeration date
01/10/2006
Last updated
02/24/2014
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