Individual
MANEESH C. KANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716
(218) 281-9293
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63484
MN
208D00000X
General Practice Physician
63484
MN
208M00000X
Hospitalist Physician
63484
MN
Other
Enumeration date
04/02/2015
Last updated
07/06/2018
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