Organization · Type 2 NPI
Mangold Center for Family Health and Wellness
General Practice Physician · West Bend, WI
NPI number
1649405564
Active
Practice location
120 N Main St, #120
West Bend, WI 53095-3376
Fax (262) 292-9747
Mailing address
120 N Main St Ste 120
West Bend, WI 53095-3360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 32859 (WI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in West Bend
About NPI 1649405564
Mangold Center for Family Health and Wellness's National Provider Identifier is 1649405564, issued on May 20, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in West Bend, WI. The record was last updated on Sep 1, 2011.