NPI 1346532678

Michael R Mankovecky, DPM

Practitioner Podiatrist Green Bay, WI

Practice location

Address: 1779 Main St, Green Bay, WI 54302-3250
Phone: (920) 465-0181

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1036 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1346532678
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2011
Record last updated: 19 Jun 2014

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.