Individual
MICHAEL G MANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4088
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30145
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31475100
—
WI
Enumeration date
07/04/2006
Last updated
11/26/2021
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