Individual
DR. MICHAEL A MANCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-2398
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60717
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201077100
—
IN
Enumeration date
06/24/2009
Last updated
07/09/2013
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