Individual
MRS. HEIDI MANGELSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 SW CARY PKWY, SUITE 210, CARY, NC 27511-5562
(919) 467-8556
(919) 380-1480
Mailing address
101 SW CARY PKWY, SUITE 210, CARY, NC 27511-5562
(919) 467-8556
(919) 380-1480
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
009400913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-55792
UNITED HEALTHCARE
NC
01
—
1005L
BLUE CROSS BLUE SHIELD
NC
Enumeration date
09/16/2005
Last updated
07/07/2010
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