Individual
DR. PAUL G MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23049
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
23049
IA
207RP1001X
Pulmonary Disease Physician
Primary
23049
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018392
HEALTH ALLIANCE
—
05
—
0204651
—
IA
01
—
19342
MIDLANDS CHOICE
—
01
—
20758
WELMARK BC/BS
IA
01
—
27187
IOWA HEALTH SOLUTIONS
—
01
—
IA0103
JOHN DEERE HEALTH
—
Enumeration date
05/16/2006
Last updated
03/15/2013
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