DR. MICHAEL NORBERT MANGOLD M.D. NPI 1588685895

NPI Information

  • NPI: 1588685895
  • Provider Name: DR. MICHAEL NORBERT MANGOLD, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 120 N MAIN ST
    #120
    WEST BEND, WI
    ZIP 53095
  • Phone: (262) 338-8100

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NPI Details

DR. Michael Norbert Mangold, M.D. is a family medicine in West Bend, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Michael Norbert Mangold, M.D. NPI is 1588685895. 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:

120 N MAIN ST
#120
WEST BEND, WI
ZIP 53095-376
Phone: (262) 338-8100
Fax: (262) 338-0405

The enumeration date for this NPI number is 7/21/2006 and was last updated on 9/2/2011.

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
1207P00000XEmergency Medicine32859WISCONSINNo
2207Q00000XFamily Medicine32859-20WISCONSINYes

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
131843700MEDICAIDWISCONSIN
2521833OTHERWISCONSINMEDICARE FQHC
3WI2049001MEDICARE PINWISCONSIN
4F15048MEDICARE UPINWISCONSIN
5WI2050001MEDICARE PINWISCONSIN
6WI2051001MEDICARE PINWISCONSIN
7000054100OTHERWISCONSINMEDICARE, WPS, FQHC
8WI317001MEDICARE PINWISCONSIN

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: 11/21/2025

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