Individual
DR. DAVID A. MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3316 PATRIOT CT, HERRIN, IL 62948-3782
(618) 993-0307
(618) 351-4862
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036092538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360925381
—
ID
01
—
10032027
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/04/2006
Last updated
04/29/2026
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