VIRGINIA M MANDAC M.D. NPI 1902971609

NPI Information

  • NPI: 1902971609
  • Provider Name: VIRGINIA M MANDAC, M.D.
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 3301 7TH AVE
    ANOKA, MN
    ZIP 55303
  • Phone: (763) 712-4000

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NPI Details

Virginia M Mandac, M.D. is an adult medicine family medicine in Anoka, MN. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Virginia M Mandac, M.D. NPI is 1902971609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3301 7TH AVE
ANOKA, MN
ZIP 55303-516
Phone: (763) 712-4000
Fax: (763) 712-4013

The enumeration date for this NPI number is 11/21/2006 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
1207QA0505XFamily MedicineAdult Medicine21850MINNESOTAYes

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
1E72778MEDICARE UPINMINNESOTA

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: 11/21/2025

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