Individual
MR. JAMES MICHAEL MANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
911 NORTHLAND DRIVE, FAIRVIEW NORTHLAND MEDICAL CENTER, PRINCETON, MN 55371
(763) 389-6396
(763) 389-6395
Mailing address
911 NORTHLAND DRIVE, FAIRVIEW NORTHLAND MEDICAL CENTER, PRINCETON, MN 55371
(763) 389-6396
(763) 389-6395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1122411
MN
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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