Individual
ROCHELLE MANIK CATHERINE SAMARASEKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-2111
Mailing address
PO BOX 218, OSCEOLA, WI 54020-0218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7070821
WI
Other
Enumeration date
07/05/2016
Last updated
08/15/2019
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