Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK C MANLEY, MD
ActiveJACK C MANLEY, MD is a Hospice and Palliative Medicine healthcare provider located in WAUWATOSA, Wisconsin. NPI 1851351274 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · WAUWATOSA, WI
Registration Details
- NPI Number
- 1851351274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2006 (20.421105027016 yrs)
- Last Updated
- Mar 9, 2015
- Licenses
-
13968 (WI)13968 (WI)
Practice Information
- Address
-
201 N MAYFAIR RDWAUWATOSA, WI, 532264216Browse WI providers · Browse ZIP 53226
- Phone
- 4142597505
- Fax
- 4142597583
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Hospice and Palliative Medicine
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.