Individual
JACK C MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 259-7505
(414) 259-7583
Mailing address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 259-7505
(414) 259-7583
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13968
WI
207RI0011X
Interventional Cardiology Physician
Primary
13968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30897900
—
WI
Enumeration date
03/28/2006
Last updated
03/09/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us