Individual
AMY MANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N PORTLAND ST, FOND DU LAC, WI 54935-3412
(920) 906-5100
Mailing address
50 N PORTLAND ST, FOND DU LAC, WI 54935-3412
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
88623030
WI
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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