Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mannou Wend-Yam Douti, SURGICALASSISTANT

Individual provider Surgical Assistant · NPI 1720954712

Mannou Wend-Yam Douti, SURGICALASSISTANT is a Surgical Assistant in Andover, Minnesota. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

2867 141st Ave NW
Andover, MN 55304-3726
Phone: (763) 291-2286
Fax: (763) 291-2286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136001056 (VA)

Record details

NPI number1720954712
Entity typeIndividual (Type 1)
GenderMale
Credentials SURGICALASSISTANT
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025