Individual
JACQUELINE A VAN MANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
191 THEATER ROAD, ONALASKA, WI 54650-8679
(608) 392-5005
(608) 392-5792
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49529
WI
Other
Enumeration date
08/29/2006
Last updated
01/29/2024
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