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Individual

RONALD GEORGE MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-5241
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-5241

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
38066
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208100000X
WI
01
32561600
MD MHS
WI
Enumeration date
07/14/2006
Last updated
10/24/2011
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