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Search › Minnesota › 207RE0101X

Buvana Manickam, M.D

NPI 1609060466 · on the registry since 2007

Practice

Address
825 Nicollet Mall
Ste. 300
Minneapolis, MN 55402
Phone
(613) 333-8883
Fax
(612) 317-6686
Organisation at this address
Aesklepion
Eiynck Inc
Ivory Dental
Skin Specialists
Emily Tonkin, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
207RE0101X
207RE0101X
Also registered as
174400000X
207R00000X
Licence states on file
MN, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-09

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