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VIRGINIA M MANDAC M.D.
NPI 1902971609
Family Medicine - Adult Medicine in Anoka, MN

Active since November 21, 2006
3301 7TH AVE, ANOKA, MN 55303(763) 712-4000(763) 712-4013 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virginia M Mandac M.d. NPPES

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

VIRGINIA M MANDAC M.D. (NPI 1902971609) is an individual adult medicine provider in Anoka, Minnesota, licensed in Minnesota (21850) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1902971609
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameVIRGINIA M MANDACCredential: M.D.
Location Address3301 7TH AVEAnoka, MN 55303-4516
Mailing Address3301 7th AveAnoka, MN 55303-4516 · (763) 712-4000 · Fax (763) 712-4013
Phone(763) 712-4000
Fax(763) 712-4013
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902971609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MN · 21850
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3301 7TH AVE, Anoka, MN 55303
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Other Identifiers 1

Medicare UPINE72778MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARON NYAKUNDI MANWA
Nurse Practitioner (Psychiatric/Mental Health)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
ERIN AUSMAN PH.D., LP
Psychologist (Clinical)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5113
LAURA MARIE SCHULLER APRN, FNP
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
DR. THOMAS ARNO WITTKOPP M.D.
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
DR. GRETA N. MINOR PHD, LP
Clinical Neuropsychologist
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
DR. BROOKE MARIE BEEHLER D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5006
HELLEN J BOIT APRN, DNP
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
DEBRA NAEGELE
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5289

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 Virginia Mandac's NPI number?

The NPI number for Virginia Mandac is 1902971609. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Virginia Mandac located?

Virginia Mandac practices at 3301 7th Ave, Anoka, MN 55303. The listed phone number is (763) 712-4000.

What is Virginia Mandac's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Virginia Mandac was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.