Paul James McManus, DO
Family Medicine in Plymouth, MN. Individual provider (NPI-1).
NPI number1093335366
StatusActive
Last updated in NPPESAug 4, 2023
Details
- NPI
- 1093335366
- Entity type
- Individual (NPI-1)
- Name
- Paul James McManus
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2020
- Certification date
- Aug 4, 2023
- Last updated
- Aug 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 70009 | MN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4155 County Road 101 NPlymouth, MN 55446-2307
Phone 952-993-8900 · Fax 952-993-8955
Mailing address
8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Other practice locations
6600 Excelsior Blvd Ste 160
St Louis Park, MN 55426-4713
St Louis Park, MN 55426-4713
Phone 952-993-7705
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