Individual
AMY LYNN MANECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213562 WESCOTT AVE, STRATFORD, WI 54484-5282
(715) 650-0140
Mailing address
213562 WESCOTT AVE, STRATFORD, WI 54484-5282
(715) 650-0140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239661-30
WI
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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