Carol Manning III

NPI #1174509467 in St Louis Park, Minnesota

Provider Information

NPI Number: 1174509467
Entity Type: Individual
Name: Carol Manning III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Enumeration Date: Dec 19, 2005
Last Updated: Mar 5, 2012

Practice Location

Address: 3850 PARK NICOLLET BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416
Phone: (952) 993-3025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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