NPI 1174509467
Carol Manning
Practice location
- Address
- 3850 Park Nicollet Blvd, St Louis Park, MN 55416
- Phone
- (952) 993-3025
- Mailing address
- 3800 Park Nicollet Blvd Credentialing, St Louis Park, MN 55416-2527
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1174509467
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Dec 2005
- Record last updated
- 5 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.