Individual
JAN MARIE MANTHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, MC 2433, MADISON, WI 53792-1530
(608) 662-0817
(608) 203-4544
Mailing address
600 HIGHLAND AVE, MC 2433, MADISON, WI 53792-1530
(608) 662-0817
(608) 203-4544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81368-30
WI
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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