NPI 1225478126

Amy N Mandeville

Practitioner Family Medicine Physician Waupaca, WI

Practice location

Address: 710 Riverside Dr, Waupaca, WI 54981-1941
Phone: (715) 256-3000

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 73650 (WI)

Other Family Medicine providers in Wisconsin →

Obstetrics Physician

Allopathic & Osteopathic Physicians Taxonomy 207VX0000X Licence 73650 (WI)

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Registry record

NPI: 1225478126
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2013
Record last updated: 10 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.