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Amanda Wanta

NPI 1134374192 · on the registry since 2008

Practice

Address
401 West Mail Street
Merrill, WI 54452
Phone
(715) 539-8181
Fax
(715) 539-8109

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin