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Individual
NATHAN MENKE
Active
Individual
NATHAN MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD442927
PA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
4301503780
MI
Other
Enumeration date
10/17/2006
Last updated
06/14/2021
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