Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERED MARC MANCELL, D.O.
ActiveSleep Medicine (Otolaryngology) · WATERTOWN, SD
Registration Details
- NPI Number
- 1942437140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2009 (16.850044589881 yrs)
- Last Updated
- Jul 16, 2014
- Licenses
-
5101018298 (MI)9230 (SD)
Practice Information
- Address
-
401 9TH AVE NWWATERTOWN, SD, 572011548Browse SD providers · Browse ZIP 57201
- Phone
- 6058827000
- Primary Specialty
-
Sleep Medicine (Otolaryngology)
207YS0123X
- Additional Specialty
- Sleep Medicine (Otolaryngology)
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.