Individual
THOMAS MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3365 S 103RD ST, MILWAUKEE, WI 53227-4108
(414) 321-3951
(414) 321-8307
Mailing address
3365 S 103RD ST, MILWAUKEE, WI 53227-4108
(414) 321-3951
(414) 321-8307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28395
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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