Individual
MADELEINE GRACE MANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST STREET SW, ROCHESTER, MN 55905
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21865
WI
208800000X
Urology Physician
28971
MN
208800000X
Urology Physician
64136
MN
208800000X
Urology Physician
68658
AZ
Other
Enumeration date
01/27/2015
Last updated
02/20/2023
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