Individual provider · Type 1 NPI

Carol Manning Iii

General Practice Physician · St. Louis Park, MN

NPI number 1174509467 Active

Practice location

3850 Park Nicollet Blvd
St. Louis Park, MN 55416

Call (952) 993-3025 Map

Mailing address

3800 Park Nicollet Blvd, Credentialing
St. Louis Park, MN 55416-2527

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X24919 (MN)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

222 other providers at this address

Other general practice physician providers in St. Louis Park

See all in St. Louis Park →

About NPI 1174509467

Carol Manning Iii's National Provider Identifier is 1174509467, issued on Dec 19, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 5, 2012.