Individual
MR. PATRICK C. MANNEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5045 W GRANDE MARKET DR, APPLETON, WI 54913-8517
(920) 886-9380
(920) 886-9381
Mailing address
BIN 88040, MILWAUKEE, WI 53288-8040
(920) 886-9380
(930) 886-9381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44202-020
WI
207RC0000X
Cardiovascular Disease Physician
Primary
44202-020
WI
Other
Enumeration date
10/25/2006
Last updated
03/16/2020
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