Manellema Nandimitra Fernando, M.D

NPI #1750597886 in Janesville, Wisconsin

Provider Information

NPI Number
1750597886
Entity Type
Individual
Name
Manellema Nandimitra Fernando, M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Preventive Medicine - Public Health & General Preventive Medicine
Credential
M.D
Enumeration Date
May 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
15 W MILWAUKEE ST
Address 2
SUITE 206
ZIP Code
53548-2998
Phone
(608) 756-0791

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Public Health & General Preventive MedicinePublic Health & General Preventive Medicine

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