Individual provider · Type 1 NPI
Nicole Therese Manecke, PA
Medical Physician Assistant · Baxter, MN
NPI number
1821180712
Active
Practice location
13359 Isle Dr, Suite 3
Baxter, MN 56425-2222
Fax (218) 454-3062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085-001851 (IL) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Advanced Specialty Associates, LtdFacial Plastic Surgery Physician Baxter, MN NPI 1265583652
- Dermatology Professionals, PAClinic/Center Baxter, MN NPI 1720269426
- Ethan Terry Kraft, MDOtolaryngology Physician Baxter, MN NPI 1316471386
- Kurtis Allen Waters, MDOtolaryngology Physician Baxter, MN NPI 1568440717
- Paul Lundstrom, MDDermatology Physician Baxter, MN NPI 1699759647
Other medical physician assistant providers in Baxter
About NPI 1821180712
Nicole Therese Manecke, PA's National Provider Identifier is 1821180712, issued on Sep 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baxter, MN. The record was last updated on Jul 9, 2008.