Peter Mandelert Ihle in Fall Creek - Specialist
Peter Mandelert Ihle - NPI 1720248958
Peter Mandelert Ihle is a Specialist in Fall Creek, Wisconsin. Peter Mandelert Ihle practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peter Mandelert Ihle is 1720248958. The last update date is 2008-06-11.
Peter Mandelert Ihle's current location address is 9891 Dewitz Rd, Fall Creek, Wisconsin. You can contact this provider via phone number 7158771514 and fax number 7158773615. The mailing address for Peter Mandelert Ihle is 9891 Dewitz Rd, Fall Creek, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Mandelert Ihle |
|---|---|
| Address | 9891 Dewitz Rd, Fall Creek, Wisconsin |
| Phone Number | 7158771514 |
| Fax Number | 7158773615 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720248958 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 9891 Dewitz Rd |
|---|---|
| City | Fall Creek |
| State | Wisconsin (WI) |
| Post Code | 547429384 |
| Phone Number | 7158771514 |
| Fax Number | 7158773615 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16442-020 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Peter Mandelert Ihle by the Centers for Medicare & Medicaid Services?
The Peter Mandelert Ihle has been assigned the NPI (National Provider Identifier) 1720248958. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Peter Mandelert Ihle's physical address?
The Peter Mandelert Ihle is physically located at 9891 Dewitz Rd, in the city of Fall Creek, WI, with the postal code 547429384.
What is the Peter Mandelert Ihle's specialty and taxonomy code?
The Peter Mandelert Ihle's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Peter Mandelert Ihle receive its 1720248958?
The Peter Mandelert Ihle was issued its 1720248958 on 2008-06-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Peter Mandelert Ihle, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter Mandelert Ihle, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-11.