Individual
DR. DOMINEE M MANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 STATE HIGHWAY 66, STEVENS POINT, WI 54482-8410
(715) 343-7700
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55481
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568610376
—
WI
Enumeration date
09/04/2008
Last updated
08/08/2023
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