Organization
MANUEL R MORAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL R MORAN MD (PRESIDENT)
(320) 249-9588
Entity
Organization
Contact information
Practice address
1526 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
(320) 251-8385
Mailing address
32286 COUNTY ROAD 1, SAINT CLOUD, MN 56303-9560
(320) 249-9588
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
34332
MN
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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