Individual
DR. RICHARD L MANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(651) 641-6200
(651) 641-6295
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26283
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889885500
—
MN
Enumeration date
06/04/2006
Last updated
04/26/2021
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