Timothy Mangold, PA-C
NPI #1043370315 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1043370315
- Entity Type
- Individual
- Name
- Timothy Mangold, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Dec 9, 2006
- Last Updated
- Jun 17, 2021
Practice Location
- Address
- 1301 33RD ST S
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56301-9668
- Phone
- (320) 251-8181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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