Individual
DR. JOHN L. MANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 W LAKEWAY RD, SUITE 3, GILLETTE, WY 82718-6372
(307) 696-2996
(307) 670-8250
Mailing address
3100 W LAKEWAY RD, STE 3, GILLETTE, WY 82718-6373
(307) 696-2996
(307) 670-8250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036096773
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
7144A
WY
Other
Enumeration date
07/07/2006
Last updated
12/27/2016
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