ELWYN C MANTEI MD NPI 1568459998

NPI Information

NPI: 1568459998
Provider Name: ELWYN C MANTEI, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
3123 SHORE DR
STE 102
MARINETTE, WI
ZIP 54143
Phone: (715) 732-2299
Get Directions

Elwyn C Mantei, MD is a geriatric medicine internal medicine in Marinette, WI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Elwyn C Mantei, MD NPI is 1568459998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3123 SHORE DR
STE 102
MARINETTE, WI
ZIP 54143-287
Phone: (715) 732-2299
Fax: (715) 732-2419

The enumeration date for this NPI number is 9/30/2005 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	22450020	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110221390	OTHER	WISCONSIN	RR-MEDICARE
2	000240160	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
3	4825080003	MEDICARE NSC	WISCONSIN
4	003540165	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
5	30265400	MEDICAID	WISCONSIN
6	N41200005	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
7	B54815	MEDICARE UPIN
8	N41200005	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »