| NPI | 1699802181 |
|---|---|
| Former Name | DEBORAH A MANTEUFEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 140806) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2099) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-07-14 |