Individual
DR. MANISHA FENZL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 940-2648
Mailing address
855 ILLINI DR STE 300, SILVIS, IL 61282-2904
(563) 940-2648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-10839
IA
Other
Enumeration date
06/14/2017
Last updated
10/11/2022
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