Individual
DANIELLE MANGINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 CHICAGO AVE STE 250, MINNEAPOLIS, MN 55407-1355
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75063
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2021
Last updated
08/26/2025
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