Dr KOTI R MANNEM MD is a male medical professional, specializing in Psychiatry. He graduated in 1974.
705 E TIMBER DR
RHINELANDER
WI
545012859
Tel:
Npi | 1720188717 |
Pac Id | 7911964200 |
Professional Enrollment Id | I20041218000041 |
Last Name | MANNEM |
First Name | KOTI |
Middle Name | R |
Suffix | |
Gender | M |
Credential | MD |
Medical School Name | OTHER |
Graduation Year | 1974 |
Primary Specialty | PSYCHIATRY |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 705 E TIMBER DR |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | RHINELANDER |
State | WI |
Zip Code | 545012859 |
Phone Number | |
Hospital Affiliation Ccn 1 | 520049 |
Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
Hospital Affiliation Ccn 2 | 520019 |
Hospital Affiliation Lbn 2 | MINISTRY SAINT MARYS HOSPITAL |
Hospital Affiliation Ccn 3 | 521300 |
Hospital Affiliation Lbn 3 | MINISTRY EAGLE RIVER MEMORIAL HOSPITAL |
Hospital Affiliation Ccn 4 | 521325 |
Hospital Affiliation Lbn 4 | FLAMBEAU HOSPITAL |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | M |
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