Individual
DR. NICOLE FELICE MANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 589-2560
Mailing address
42 W VILLAGE CIR, DAVENPORT, IA 52806-4857
(563) 386-5968
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.117369
IL
207P00000X
Emergency Medicine Physician
Primary
37128
IA
207P00000X
Emergency Medicine Physician
N7942
TX
Other
Enumeration date
04/22/2007
Last updated
10/28/2010
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