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Timothy Mangold, PA-C
NPI 1043370315 · on the registry since 2006
Practice
- Address
- 1301 33rd St S
Saint Cloud, MN 56301 - Phone
- (320) 251-8181
- Organisation at this address
- Patjac Inc.
Centracare Clinic
Centracare Clinic
Centracare Clinic
St. Cloud HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Additional practice sites
- 2557 N Dodge St, Iowa City, IA
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota