Search › Wisconsin › 207RI0011X
Jack Manley, MD
NPI 1851351274 · on the registry since 2006
Practice
- Address
- 201 N Mayfair Rd
Wauwatosa, WI 53226 - Phone
- (414) 259-7505
- Fax
- (414) 259-7583
- Organisation at this address
- Dermavation, S.C.
Heritage Clinic S.C.
Karen S. Watson Md Sc
Brian J. Blocher Dds Sc
Ihc-Wheaton Anesthesia LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 73
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207RC0000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin