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Individual

TERESA M. MANGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20 S PARK ST, MADISON, WI 53715-1348
(608) 287-2090
(608) 287-2086
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01087324A
IN
2084N0400X
Neurology Physician
Primary
54769-020
WI
2084N0400X
Neurology Physician
MD430843
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61032
DEAN HEALTH INSURANCE
WI
Enumeration date
12/27/2006
Last updated
07/07/2025
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