Mark S Mannenbach
M.D. | Pediatric Emergency Medicine | Male
Mark S Mannenbach, M.D. is a Rochester, Minnesota based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Mark S Mannenbach is
200 1st St Sw, Rochester, Minnesota - 55905-0001. He can be contacted on phone at
507-284-2511.
Mark S Mannenbach is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark S Mannenbach is
1558333294 which was assigned by NPPES on 06 Feb, 2006 and it was last updated on 08 Oct, 2020.
Mark S Mannenbach license number is
39143 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Minnesota.
Mark S Mannenbach has special qualifications to manage emergencies in infants and children.
Complete Profile:
Mark S Mannenbach basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Emergency Medicine |
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Provider Name : | Mark S Mannenbach |
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Credential : | M.D. |
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Gender : | Male |
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Business Address:
Mark S Mannenbach address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 200 1st St Sw Rochester, MN, 55905-0001 United States |
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Phone Number : | 507-284-2511 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1558333294 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 06 Feb, 2006 |
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Last Updated On : | 08 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark S Mannenbach are as mentioned. Primary taxonomy code for Mark S Mannenbach, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
Taxonomy Code | Speciality | Primary | License No. | State |
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207P00000X | Emergency Medicine | No | 39143 | MN |
2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 39143 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Mark S Mannenbach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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209322700 | MEDICAID | MN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT (Direct Messaging Address) | mmannenbach66236@ehrdirect.mayoclinicmsg.org
| No affiliation |
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| 200 1ST ST SW, ROCHESTER, MN, 55905-0001 United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 200 1st St Sw Rochester, MN, 55905-0001 United States |
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Phone Number : | 507-284-2511 |
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Business Location:
Patients can refer following map for directions to
Mark S Mannenbach practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.