Individual
DR. JESSE M MANUNGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 E 28TH ST, SUITE 300, MINNEAPOLIS, MN 55407-1139
(612) 863-6800
(612) 863-6006
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
54508
MN
Other
Enumeration date
09/26/2007
Last updated
11/09/2020
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