Organization
MANGOLD CENTER FOR FAMILY HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL N MANGOLD MD (PRESIDENT/OWNER)
(262) 338-8100
Entity
Organization
Contact information
Practice address
120 N MAIN ST, #120, WEST BEND, WI 53095-3376
(262) 338-8100
(262) 292-9747
Mailing address
120 N MAIN ST STE 120, WEST BEND, WI 53095-3360
(262) 338-8100
(262) 338-0405
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
32859
WI
Other
Enumeration date
05/20/2009
Last updated
09/01/2011
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