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Individual

DR. JOHN W MANNSCHRECK

Active
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Individual

DR. JOHN W MANNSCHRECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-6236
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD00026768
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010149194
REGENCE BLUE SHIELD
WA
05
1121334
WA
01
72728
BLUE CROSS OF IDAHO
WA
01
P00186232
RAILROAD MEDICARE
WA
Enumeration date
05/12/2006
Last updated
07/25/2024
Update your record

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