Individual
MICHAEL S CIANCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W LOOMIS RD, FRANKLIN, WI 53132-8887
(414) 529-9200
Mailing address
W226N2593 OAKWOOD LN, WAUKESHA, WI 53186-8833
(262) 524-9700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29789
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31566600
—
WI
Enumeration date
07/12/2006
Last updated
07/08/2007
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