Organization · Type 2 NPI

Mankato Clinic Ltd

Family Medicine Physician · Mapleton, MN

NPI number 1104057926 Active

Practice location

305 Main St E
Mapleton, MN 56065-2060

Call (507) 524-3835 Map

Mailing address

1230 E Main St
Mankato, MN 56001-8001

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1104057926
Entity type: Organization (Type 2)
Issued: Jul 28, 2009
Last updated: Jan 16, 2026
Status: Active
Subpart: Yes of Mankato Clinic Ltd

Other names

<unavail>
Mankato Clinic @ Mapleton Family Practice · doing business as
Mankato Clinic @ Mapleton Family Practice · doing business as
Mankato Clinic, Ltd. · other name

Authorized official

Mr. Aaron Johnson, CEO
CEO
(800) 657-6944

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104057926

Mankato Clinic Ltd's National Provider Identifier is 1104057926, issued on Jul 28, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mapleton, MN. The record was last updated on Jan 16, 2026.