Individual
MANUEL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 N 10TH ST, MILWAUKEE, WI 53233-1446
(414) 212-4966
Mailing address
1645 BARRINGTON WOODS DR, BROOKFIELD, WI 53045-2214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33176
WI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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