Mandi, Denise M

Mandi, Denise M is an individual health care provider with primary practice located at 1801 Hickman Road Broadlawns Medical Center, Des Moines IA 50314-1975. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Mandi, Denise M can be contacted via phone (515) 282-2200.

Contact Information

Primary practice address
1801 Hickman Road Broadlawns Medical Center Des Moines IA 50314-1975
Phone: (515) 282-2200
Fax: (515) 282-3234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00779 Iowa

Profile Details

NPI number 1457346546
LBN Legal business name Mandi, Denise M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Dec 29th, 2010 - about 16 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 1457346546 NPPES
Iowa MEDICAID 0446112

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