DR. WILLIAM DAVID MANAHAN MD NPI 1235212713

NPI Information

NPI: 1235212713
Provider Name: DR. WILLIAM DAVID MANAHAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2615 EAST FRANKLIN AVE
UFP SMILEY'S CLINIC, UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55406
Phone: (612) 333-0770
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DR. William David Manahan, MD is a family medicine in Minneapolis, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. William David Manahan, MD NPI is 1235212713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2615 EAST FRANKLIN AVE
UFP SMILEY'S CLINIC, UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55406
Phone: (612) 333-0770

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		17751	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	894137	OTHER		ARAZ
2	1938175	MEDICAID	IOWA
3	299J2MA	OTHER		BLUE CROSS BLUE SHIELD
4	1011064	OTHER		PREFERRED ONE
5	HP18753	OTHER		HEALTH PARTNERS
6	114700	OTHER		UCARE
7	D80090	MEDICARE UPIN
8	01-09659	OTHER		MEDICA CHOICE
9	34311400	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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