Individual
DR. AUSTIN MCMANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 E THOMAS ST, RICE LAKE, WI 54868-3055
(715) 234-4636
(715) 234-2982
Mailing address
2059 21 1/4 ST, RICE LAKE, WI 54868-8809
(651) 238-4869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002077-15
WI
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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