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Individual

BRIAN R MANSKE

Active
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Individual

BRIAN R MANSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24982
WI
2085R0202X
Diagnostic Radiology Physician
26251
IA
2085R0202X
Diagnostic Radiology Physician
44358
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30477500
WI
Enumeration date
05/24/2005
Last updated
09/30/2015
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