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Contact Information

JAKE MANDZIUK, MD
DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
9000 W. WISCONSIN AVE
MILWAUKEE, WI53226
 Phone: 414-266-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pathology

207ZP0213X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JAKE MANDZIUK · (Male)

NPI Number 1851019871
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2022
Last updated 08/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 9953
Hospital affiliation(s) Not Available
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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