NPI 1114338910
Gabrielle N Mannino, MD
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
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.