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Individual

DR. MORGAN EARL MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 572-5710
(763) 862-4490
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42691
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0109688
MEDICA #
MN
01
1027375
PREFERRED ONE
MN
01
142814
UCARE MN#
MN
01
1694603
AMERICA'S PPO
MN
01
261J8MA
BCBS OF MN
MN
01
6605849
MEDICA UC#
MN
01
7856409
AETNA INS
MN
05
983108800
MN
01
HP35998
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
03/22/2012
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