Jacqueline A Van Manen, DO

NPI #1568570521 in Onalaska, Wisconsin

Provider Information

NPI Number: 1568570521
Entity Type: Individual
Name: Jacqueline A Van Manen, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Aug 29, 2006
Last Updated: Jan 29, 2024

Practice Location

Address: 191 THEATER ROAD
City: Onalaska
State: Wisconsin
ZIP Code: 54650-8679
Phone: (608) 392-5005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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