Individual
MANJU GOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6161
(607) 647-3178
Mailing address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6161
(607) 647-3178
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
01057482A
IN
207Q00000X
Family Medicine Physician
Primary
37441
WI
2086S0129X
Vascular Surgery Physician
01057482A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32221600
—
WI
Enumeration date
08/12/2005
Last updated
04/01/2008
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