Manoles, Michael Jon

Manoles, Michael Jon is an individual health care provider with primary practice located at 516 Delaware St Se, Pwb, Clinic 3B Cardiovascular Center, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Manoles, Michael Jon can be contacted via phone (612) 365-5000.

Contact Information

Primary practice address
516 Delaware St Se, Pwb, Clinic 3B Cardiovascular Center Minneapolis MN 55455-0356
Phone: (612) 365-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 28957 Minnesota

Profile Details

NPI number 1578521555
LBN Legal business name Manoles, Michael Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Feb 20th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578521555 NPPES
Minnesota MEDICAID 031078600

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