Individual
MRS. TAMMY MANTEUFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1476 KENWOOD DR, MENASHA, WI 54952-1134
(920) 725-1116
Mailing address
1476 KENWOOD DR, MENASHA, WI 54952-1134
(920) 725-1116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174471
WI
Other
Enumeration date
05/28/2010
Last updated
11/01/2013
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