JAKE MANDZIUK MD
NPI 1851019871
Pathology - Pediatric Pathology in Milwaukee, WI

Q: What is Jake Mandziuk's NPI number?

The NPI number for Jake Mandziuk is 1851019871. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Q: What is Jake Mandziuk's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Q: When was this NPI record last updated?

The NPPES record for Jake Mandziuk was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2022

DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, 9000 W. WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-2255 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jake Mandziuk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE MANDZIUK MD (NPI 1851019871) is an individual pediatric pathology provider in Milwaukee, Wisconsin, licensed in Wisconsin (9953) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1851019871

Entity TypeIndividualMale

Primary Taxonomy207ZP0213X

Provider Legal NameJAKE MANDZIUKCredential: MD

Location AddressDEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, 9000 W. WISCONSIN AVEMilwaukee, WI 53226

Mailing AddressDepartment Of Pathology And Laboratory Medicine, 9000 W. Wisconsin AveMilwaukee, WI 53226 · (414) 266-2255

Phone(414) 266-2255

Sole ProprietorNo

Enumeration DateAugust 16, 2022

NPPES CertifiedAugust 15, 2022

✔ NPI 1851019871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0213X

License✔ Licensed in WI · 9953

Definition

A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.

DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, Milwaukee, WI 53226

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Mandziuk's NPI number?

The NPI number for Jake Mandziuk is 1851019871. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Jake Mandziuk located?

Jake Mandziuk practices at Department Of Pathology And Laboratory Medicine 9000 W. Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-2255.

What is Jake Mandziuk's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

When was this NPI record last updated?

The NPPES record for Jake Mandziuk was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.