Individual
PAUL MATTHEW MANGANARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
168-17
WI
367H00000X
Anesthesiologist Assistant
Primary
168
WI
Other
Enumeration date
06/17/2020
Last updated
07/06/2020
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