SearchWisconsin235Z00000X

Jeanette Bantamoi

NPI 1639292782 · on the registry since 2007

Practice

Address
1550 Midway Pl
Menasha, WI 54952
Phone
(920) 727-8140
Organisation at this address
New Surgery Center Llc
Ascension Ne Wisconsin, Inc
Ascension Medical Group-Fox Valley Wisconsin, Inc
Ascension Medical Group -Fox Valley Wisconsin, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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