Organization
WISCONSIN VEIN CENTER AND MEDISPA, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH L MANJONEY MD (OWNER)
(262) 746-9088
Entity
Organization
Contact information
Practice address
1231 GEORGE TOWNE DRIVE, SUITE G, PEWAUKEE, WI 53072
(262) 746-9088
(262) 746-9088
Mailing address
1231 GEORGE TOWNE DRIVE, SUITE G, PEWAUKEE, WI 53072
(262) 746-9088
(262) 746-9088
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
WI
Other
Enumeration date
03/27/2007
Last updated
10/28/2008
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