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Individual
DR. BARNETT G MENNEN
Active
Individual
DR. BARNETT G MENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0072173
MD
208000000X
Pediatrics Physician
D0072173
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101248289
STATE LICENSE
VA
01
—
D0072173
STATE LICENSE
MD
Enumeration date
04/12/2007
Last updated
04/02/2015
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