Individual
PHILIP MANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13359 ISLE DR STE 1, BAXTER, MN 56425-2223
(218) 454-8888
(888) 835-7231
Mailing address
13359 ISLE DR STE 1, BRAINERD, MN 56425-2223
(218) 454-3077
(888) 835-7231
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
47977
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156657100
—
MN
Enumeration date
07/10/2006
Last updated
05/21/2022
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