Individual
MR. THOMAS J MANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3610 MICHELLE WITMER MEMORIAL DRIVE, NEW BERLIN, WI 53151-5292
(262) 785-1366
(262) 785-1383
Mailing address
3610 MICHELLE WITMER MEMORIAL DRIVE, NEW BERLIN, WI 53151-5292
(262) 785-1366
(262) 785-1383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22449
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30373500
—
WI
Enumeration date
07/07/2005
Last updated
09/26/2017
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