Mrs. Nicole Therese Manecke, PA
Mrs. Nicole Therese Manecke, PA is a Physician Assistant in Baxter, Minnesota. Qualified in 2002, 24 years ago. Practices with Dermatology Professionals, PA, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 24
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
13359 Isle Dr Ste 3Baxter, MN 56425-2222
Phone: (218) 454-7546
Fax: (218) 454-3062
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 085-001851 (IL) |
|---|
Record details
| NPI number | 1821180712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 28, 2006 |
| Last updated in NPPES | July 9, 2008 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Dermatology Professionals, Pa — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Baxter
-
Nicole Marie Cole, PA-C
13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 · (218) 282-4746
-
Nikita Ann King
13205 Isle Dr, Baxter, MN 56425-8554 · (218) 454-7600