Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY MANGOLD, PA-C
ActiveMedical Physician Assistant · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1043370315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2006 (19.367309679928 yrs)
- Last Updated
- Jun 17, 2021
- License
-
002420 (IA)
Practice Information
- Address
-
1301 33RD ST SSAINT CLOUD, MN, 563019668Browse MN providers · Browse ZIP 56301
- Phone
- 3202518181
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| SALLY ANN BECKER | PA-C | 1801871207 |
| THOMAS MADAY | PA-C | 1851327134 |
| MARGARET ERICKSON | PA-C | 1861420192 |
| KENNETH LEGAN | PA-C | 1487682704 |
| MR. JOHN THOMAS HARDMAN | PA-C | 1013945336 |
| MS. MARY KAY WHORTON | PA-C | 1427155159 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.