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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MICHAEL N MANGOLD, MD
120 N MAIN ST
#120
WEST BEND, WI53095-3376
 Phone: 262-338-8100
 Fax: 262-338-0405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL N MANGOLD · (Male)

NPI Number 1588685895
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 09/02/2011 - About 5 years ago
Sole proprietor 1 No
Identifiers
WI License # 32859
WI License # 32859-20
WI Medicaid 31843700
WI Medicare PIN WI2049001
WI Medicare PIN WI2050001
WI Medicare PIN WI2051001
WI Medicare PIN WI317001
WI Medicare UPIN F15048
WI Other 521833 MEDICARE FQHC
WI Other 000054100 MEDICARE, WPS, FQHC
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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