Individual
GARY ALAN MANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MAIN ST STE 205, REISTERSTOWN, MD 21136-2516
(410) 526-3041
(410) 584-2258
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D25062
MD
207R00000X
Internal Medicine Physician
Primary
DR.0069745
CO
Other
Enumeration date
05/05/2006
Last updated
03/23/2023
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