DEBORAH MANGHAM

PARK NICOLLET CLINIC

Dr DEBORAH MANGHAM is a female medical professional, specializing in Internal Medicine. She graduated in 1979 from University Of Washington School Of Medicine.

Contact

PARK NICOLLET CLINIC

3525 MONTEREY DR
ST LOUIS PARK
MN
554165275

Tel: 9529931990

DEBORAH MANGHAM Information

Npi 1275519563
Pac Id 1557403722
Professional Enrollment Id I20100126000771
Last Name MANGHAM
First Name DEBORAH
Middle Name
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PARK NICOLLET CLINIC
Group Practice Pac Id 7911819438
Number Of Group Practice Members 1315
Line 1 Street Address 3525 MONTEREY DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ST LOUIS PARK
State MN
Zip Code 554165275
Phone Number 9529931990
Hospital Affiliation Ccn 1 240053
Hospital Affiliation Lbn 1 PARK NICOLLET METHODIST HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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