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1962590125
JORDAN DAVID MANDEL
GREENFIELD, WI
NPI
1962590125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 32480)
Enumeration Date
2006-10-11
Last Update Date
2015-07-20
Business Address
-- JORDAN DAVID MANDEL MD
4710 W LOOMIS RD
GREENFIELD, WI 53220-4823
Phone number: 414-433-1000
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Mailing Address
-- JORDAN DAVID MANDEL MD
4710 W LOOMIS RD
GREENFIELD, WI 53220-4823
Phone number: 414-433-1000
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