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1720188717
KOTI R MANNEM
GREEN BAY, WI
NPI
1720188717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 24001)
Enumeration Date
2006-09-22
Last Update Date
2013-03-25
Business Address
Dr. KOTI R MANNEM MD
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-4700
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Mailing Address
Dr. KOTI R MANNEM MD
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-4700
Copy
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