Organization
EMMANUEL S MANUEL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL S MANUEL MD (PHYSICIAN OWNER)
(414) 643-4300
Entity
Organization
Contact information
Practice address
3201 S 16TH ST, SUITE 1015, MILWAUKEE, WI 53215
(414) 643-4300
(414) 384-4332
Mailing address
3201 S 16TH ST, SUITE 1015, MILWAUKEE, WI 53215
(414) 643-4300
(414) 384-4332
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30299800
—
WI
Enumeration date
11/14/2006
Last updated
10/15/2007
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