Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER MANDELERT IHLE, M.D.

Active Sole Proprietor

Specialist · FALL CREEK, WI

Registration Details

NPI Number: 1720248958
Provider Type: Individual
Gender: Male
NPI Issued: Jun 11, 2008 (17.881730674615 yrs)
Last Updated: Jun 11, 2008
License: 16442-020 (WI)
Sole Proprietor: Yes

Practice Information

Address: 9891 DEWITZ RD

FALL CREEK, WI, 547429384
Browse WI providers · Browse ZIP 54742
Phone: 7158771514
Fax: 7158773615
Primary Specialty: Specialist
174400000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.