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Individual

DR. MATTHEW STEPHEN MANGANARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-0000
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-0000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
339293
NY
2085R0202X
Diagnostic Radiology Physician
Primary
65173
MN

Other

Enumeration date
03/27/2013
Last updated
03/12/2026
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