NPI 1750597886

Manellema Nandimitra Fernando, MD

Practitioner Public Health & General Preventive Medicine Physician Janesville, WI

Practice location

Address: 15 W Milwaukee St Suite 206, Janesville, WI 53548-2998
Phone: (608) 756-0791

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 35983-020 (WI)

Other Preventive Medicine providers in Wisconsin →

Registry record

NPI: 1750597886
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2007
Record last updated: 8 Jul 2007

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.