Search › Wisconsin › 207Q00000X
Jacqueline Van Manen, DO
NPI 1568570521 · on the registry since 2006
Practice
- Address
- 191 Theater Road
Onalaska, WI 54650 - Phone
- (608) 392-5005
- Fax
- (608) 392-5792
- Organisation at this address
- Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-29
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