Provider Demographics
NPI:1811952336
Name:FINA, MANUELA
Entity type:Individual
Prefix:
First Name:MANUELA
Middle Name:
Last Name:FINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-8558
Practice Address - Street 1:401 PHALEN BLVD - MS 41104I
Practice Address - Street 2:HEALTHPARTNERS SPECIALTY CENTER 401
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-8550
Practice Address - Fax:651-254-8558
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN43389207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1000672OtherMEDICA
MN70B20FIOtherBCBS OF MN
MN96112-1027313OtherPREFERRED ONE
MN140243-C986OtherUCARE
MNH37493OtherWAUSAU/PT CHOICE
MNHP33506OtherHEALTH PARTNERS
MN1261615OtherAMERICAS PPO
MN030910900Medicaid
MN1000672OtherSELECT CARE
MNH37493OtherWAUSAU/PT CHOICE
MNH37493Medicare UPIN