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Contact Information

JOHN L MANSELL, MD
3100 W LAKEWAY RD
SUITE 3
GILLETTE, WY82718-6372
 Phone: 307-696-2996
 Fax: 307-670-8250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOHN L MANSELL · (Male)

NPI # 1972535227
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 12/27/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036096773
  • WY License # 7144A
Hospital affiliation(s)
  • CAMPBELL COUNTY MEMORIAL HOSPITAL - (Acute Care)
    501 SOUTH BURMA AVENUE
    GILLETTE, WY 82716
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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