Individual
MANISHA CHATURVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1881 CHICAGO ST, DE PERE, WI 54115-3770
(920) 403-8000
Mailing address
1881 CHICAGO ST, DE PERE, WI 54115-3770
(920) 403-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60701
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033121
—
WI
Enumeration date
06/24/2010
Last updated
11/30/2021
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