IndividualActive
Destiny Miller-Mancuso, M.D.
NPI 1306366729 · Family Medicine Physician · Le Mars, IA
Provider details
- NPI number
- 1306366729
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- R-11054 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
714 Lincoln St. Ne
Le Mars, IA 51031-3314
Phone: (712) 546-3492
Fax: (712) 546-3352
Approximate (ZIP-level) locationGet directions
Mailing address
714 Lincoln St. Ne
Le Mars, IA 51031-3314
Registry dates
- Enumerated
- 2017-06-27
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.