Individual
KATHRYN DEANNE MANSERGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8000 BASS LAKE RD, NEW HOPE, MN 55428-3118
(763) 531-5005
(763) 531-5061
Mailing address
3605 ROUND LAKE BLVD NW, ANOKA, MN 55303-5003
(763) 252-0751
(763) 255-0757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115890
MN
Other
Enumeration date
11/03/2011
Last updated
01/28/2020
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