IndividualActive
Jered Mancell, D.O.
NPI 1942437140 · Facial Plastic Surgery Physician · Watertown, SD
Provider details
- NPI number
- 1942437140
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101018298 (MI)
Mailing address
401 9th Ave Nw
Watertown, SD 57201-1548
Registry dates
- Enumerated
- 2009-06-15
- Last updated
- 2014-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.