Individual
DR. STANLEY C MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 COLLIERS WAY, SUITE K, WEIRTON, WV 26062-5012
(304) 723-3360
(304) 723-0569
Mailing address
485 COLLIERS WAY, SUITE K, WEIRTON, WV 26062-5012
(304) 723-3360
(304) 723-0569
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13828
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001164895-00006
—
PA
05
—
0084201000
—
WV
05
—
102111709-0001
—
PA
Enumeration date
11/04/2005
Last updated
08/28/2008
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