Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 67128 | WI |
NPI | 1326484650 |
---|---|
Provider Name | Dr. Elizabeth A Mann |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 02/02/2021 |