Individual
MICHAEL L MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
775 PRAIRIE CENTER DR, #250, EDEN PRAIRIE, MN 55344-7314
(952) 944-5314
Mailing address
6400 BARRIE RD, #610, EDINA, MN 55435-2300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4345
MN
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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