Individual
RYAN RICHARD MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 HIGHWAY 10 E, DETROIT LAKES, MN 56502-0517
(218) 847-9214
(218) 847-9215
Mailing address
PO BOX 517, DETROIT LAKES, MN 56502-0517
(218) 847-9214
(218) 847-9215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12813
MN
Other
Enumeration date
05/27/2010
Last updated
04/28/2017
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