MRS. Nicole Therese Manecke, PA

NPI #1821180712 in Baxter, Minnesota

Provider Information

NPI Number
1821180712
Entity Type
Individual
Name
MRS. Nicole Therese Manecke, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Sep 28, 2006
Last Updated
Jul 9, 2008

Practice Location

Address
13359 ISLE DR
Address 2
SUITE 3
City
Baxter
ZIP Code
56425-2222
Phone
(218) 454-7546

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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