Mannebach, Michael D

Mannebach, Michael D is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mannebach, Michael D can be contacted via phone (920) 926-8616.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Phone: (920) 926-8616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34347 Wisconsin

Profile Details

NPI number 1841272994
LBN Legal business name Mannebach, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 2nd, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841272994 NPPES
Wisconsin Other 200022495 RAILROAD MEDICARE
Wisconsin MEDICAID 31957300 RAILROAD MEDICARE

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