Manuel R Moran
Clinic/Center, Ambulatory Surgical in Saint Cloud, MN. Organization (NPI-2).
NPI number1669971735
StatusActive
Last updated in NPPESFeb 5, 2018
Details
- NPI
- 1669971735
- Entity type
- Organization (NPI-2)
- Legal business name
- Manuel R Moran
- Organization subpart
- No
- Enumeration date
- Feb 5, 2018
- Last updated
- Feb 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 34332 | MN | Yes |
Practice location
1526 Northway DrSaint Cloud, MN 56303-1255
Phone 320-251-8385
Mailing address
32286 County Road 1Saint Cloud, MN 56303-9560
Phone 320-249-9588
Authorized official
Manuel R Moran
President
3202499588
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