Healthcare Provider Details

I. General information

NPI: 1699035386
Provider Name (Legal Business Name): MANPREET KAUR SETHI MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 W AMERICAN DR
NEENAH WI
54956-1405
US

IV. Provider business mailing address

2223 LIME KILN RD STE 1
GREEN BAY WI
54311-6238
US

V. Phone/Fax

Practice location:
  • Phone: 920-430-8113
  • Fax: 920-430-8122
Mailing address:
  • Phone: 920-430-8113
  • Fax: 920-430-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number63399-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number63399-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: