IndividualActive
Carol Manning
NPI 1174509467 · General Practice Physician · St Louis Park, MN
Provider details
- NPI number
- 1174509467
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 24919 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3850 Park Nicollet Blvd
St Louis Park, MN 55416
Phone: (952) 993-3025
Approximate (ZIP-level) locationGet directions
Mailing address
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2012-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.