Individual
GABRIELLE N MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 W NATIONAL AVE, NEW BERLIN, WI 53151-4063
(262) 787-5200
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
68975-20
WI
Other
Enumeration date
05/14/2014
Last updated
10/19/2020
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