Whalio Doctors

NPI 1114338910

Gabrielle N Mannino, MD

Practitioner Dermatology Physician New Berlin, WI

Practice location

Address
12901 W National Ave, New Berlin, WI 53151-4063
Phone
(262) 787-5200
Mailing address
3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 68975-20 (WI)

Registry record

NPI
1114338910
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 May 2014
Record last updated
19 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.