Individual
DR. MICHAEL NASR MANKARIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5601
(563) 243-5637
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5405
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28726
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110076724
RR MEDICARE
IA
05
—
2089383
—
IA
01
—
53222
BLUE CROSS
IA
Enumeration date
06/02/2005
Last updated
03/29/2017
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