Susejed Ann Mananquil

NPI 1053643031 · on the registry since 2010

Practice

Address: 22 N 27th St
Fort Dodge, IA 50501
Phone: (515) 955-6922
Organisation at this address: Iowa Dermatology Clinic Plc
Millennium Rehab & Consulting, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225100000X
225100000X
Also registered as: 2251X0800X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-23

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 Iowa