Individual
DR. KEVIN THOMAS MANZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3079
Mailing address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56631
MN
Other
Enumeration date
05/04/2012
Last updated
11/09/2020
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