TIMOTHY MANGOLD

SAINT CLOUD, MN
NPI1043370315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IA  002420)
Enumeration Date2006-12-09
Last Update Date2021-06-17
Business Address
TIMOTHY MANGOLD PA-C
1301 33RD ST S
SAINT CLOUD, MN 56301-9668
Phone number: 320-251-8181
Mailing Address
TIMOTHY MANGOLD PA-C
2557 N DODGE ST
IOWA CITY, IA 52245-9556
Phone number:
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