Individual
DR. MICHAEL JON MANOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB, CLINIC 3B, CARDIOVASCULAR CENTER, MINNEAPOLIS, MN 55455-0356
(612) 365-5000
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
28957
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031078600
—
MN
Enumeration date
05/01/2006
Last updated
02/20/2013
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