Individual
DENISE M MANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1801 HICKMAN ROAD, BROADLAWNS MEDICAL CENTER, DES MOINES, IA 50314-1975
(515) 282-2200
(515) 282-3234
Mailing address
1801 HICKMAN ROAD, BROADLAWNS MEDICAL CENTER, DES MOINES, IA 50314-1975
(515) 282-2200
(515) 282-3234
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00779
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446112
—
IA
Enumeration date
09/14/2005
Last updated
12/29/2010
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