Individual provider · Type 1 NPI
Peter Mandelert Ihle, MD
Specialist · Fall Creek, WI
NPI number
1720248958
Active
Practice location
9891 Dewitz Rd
Fall Creek, WI 54742-9384
Fax (715) 877-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 16442-020 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1720248958
Peter Mandelert Ihle, MD's National Provider Identifier is 1720248958, issued on Jun 11, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fall Creek, WI. The record was last updated on Jun 11, 2008.