Mandziuk, Jake
Mandziuk, Jake is an individual health care provider with primary practice located at Department Of Pathology And Laboratory Medicine 9000 W. Wisconsin Ave, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pathology, which is considered as his primary health care specialty. Mandziuk, Jake can be contacted via phone (414) 266-2255.Contact Information
Primary practice address
Department Of Pathology And Laboratory Medicine 9000 W. Wisconsin Ave
Milwaukee WI 53226
Phone: (414) 266-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | 9953 | Wisconsin |
Profile Details
| NPI number | 1851019871 |
|---|---|
| LBN Legal business name | Mandziuk, Jake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2022 |
| Last updated | Aug 16th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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