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Individual

KARIE ANN MANTEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
134 HOSPITAL DR, WATERTOWN, WI 53098-3304
(920) 261-6500
(920) 261-6107
Mailing address
134 HOSPITAL DR, WATERTOWN, WI 53098-3304
(920) 261-6500
(920) 261-6107

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45539
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34316600
WI
Enumeration date
06/24/2005
Last updated
03/26/2014
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