Catherine Mary Mandli, PAC

NPI #1225782550 in Wyoming, Minnesota

Provider Information

NPI Number: 1225782550
Entity Type: Individual
Name: Catherine Mary Mandli, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Feb 6, 2022
Last Updated: Aug 9, 2024

Practice Location

Address: 5200 FAIRVIEW BLVD
City: Wyoming
State: Minnesota
ZIP Code: 55092-8013
Phone: (651) 982-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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