Decanini Mancera, Alejandra

Decanini Mancera, Alejandra is an individual health care provider with primary practice located at 12000 Elm Creek Blvd N Ste 100 , Maple Grove MN 55369-7074. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Decanini Mancera, Alejandra can be contacted via phone (763) 416-7600.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Ste 100 Maple Grove MN 55369-7074
Phone: (763) 416-7600
Fax: (763) 416-7634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 55595 Minnesota

Profile Details

NPI number 1174799357
LBN Legal business name Decanini Mancera, Alejandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Aug 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174799357 NPPES
Minnesota Other 20375 RESIDENT PERMIT

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