Mangold Center for Family Health and Wellness

NPI #1649405564 in West Bend, Wisconsin

Provider Information

NPI Number: 1649405564
Entity Type: Organization
Organization Name: Mangold Center for Family Health and Wellness
Primary Specialty: General Practice
Enumeration Date: May 20, 2009
Last Updated: Sep 1, 2011

Practice Location

Address: 120 N MAIN ST
Address 2: #120
City: West Bend
State: Wisconsin
ZIP Code: 53095-3376
Phone: (262) 338-8100

Authorized Official

Name: DR. MICHAEL N MANGOLD, MD
Title: PRESIDENT/OWNER
Phone: (262) 338-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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