Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIRGINIA M MANDAC, M.D.
Active Sole ProprietorVIRGINIA M MANDAC, M.D. is a Adolescent Medicine healthcare provider located in ANOKA, Minnesota. NPI 1902971609 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · ANOKA, MN
Registration Details
- NPI Number
- 1902971609
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2006 (19.738712569126 yrs)
- Last Updated
- Jul 8, 2007
- License
-
21850 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3301 7TH AVEANOKA, MN, 553034516Browse MN providers · Browse ZIP 55303
- Phone
- 7637124000
- Fax
- 7637124013
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.