Individual
JEFFREY MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5320 HYLAND GREENS DR, BLOOMINGTON, MN 55437
(952) 993-3307
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30281
MN
Other
Enumeration date
12/19/2005
Last updated
08/16/2013
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