Provider Demographics
NPI:1356733125
Name:MANDEL, NEIL S (PHD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:S
Last Name:MANDEL
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:5000 W NATIONAL AVE
Mailing Address - Street 2:RESEARCH DIVISION/151 VA MED CENTER/MED COLLEGE OF WI
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53295
Mailing Address - Country:US
Mailing Address - Phone:414-384-2000
Mailing Address - Fax:414-382-5320
Practice Address - Street 1:5000 W NATIONAL AVE
Practice Address - Street 2:RESEARCH DIVISION/151 VA MED CENTER/MED COLLEGE OF WI
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295
Practice Address - Country:US
Practice Address - Phone:414-384-2000
Practice Address - Fax:414-382-5320
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder