Individual
DR. PETER MANDELERT IHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9891 DEWITZ RD, FALL CREEK, WI 54742-9384
(715) 877-1514
(715) 877-3615
Mailing address
9891 DEWITZ RD, FALL CREEK, WI 54742-9384
(715) 877-1514
(715) 877-3615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16442-020
WI
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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