MANNOU WEND-YAM DOUTI SURGICAL ASSISTANT
NPI 1720954712
Specialist/Technologist, Other - Surgical Assistant in Andover, MN

Active since October 15, 2025
2867 141ST AVE NW, ANDOVER, MN 55304(763) 291-2286(763) 291-2286 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mannou Wend-yam Douti Surgical Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANNOU WEND-YAM DOUTI SURGICAL ASSISTANT (NPI 1720954712) is an individual surgical assistant in Andover, Minnesota, licensed in Virginia (0136001056) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1720954712
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMANNOU WEND-YAM DOUTICredential: SURGICAL ASSISTANT
Location Address2867 141ST AVE NWAndover, MN 55304-3726
Mailing Address2867 141st Ave NwAndover, MN 55304-3726 · (763) 291-2286 · Fax (763) 291-2286
Fax(763) 291-2286
Sole ProprietorNo
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1720954712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in VA · 0136001056
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
2867 141ST AVE NW, Andover, MN 55304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mannou Douti's NPI number?

The NPI number for Mannou Douti is 1720954712. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Mannou Douti located?

Mannou Douti practices at 2867 141st Ave NW, Andover, MN 55304. The listed phone number is (763) 291-2286.

What is Mannou Douti's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Mannou Douti was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.