Individual
TERRENCE BERNARD MEANCHOP SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7362 UNIVERSITY AVE NE STE 310-5, FRIDLEY, MN 55432-3142
(612) 886-5254
Mailing address
7362 UNIVERSITY AVE NE STE 310-5, FRIDLEY, MN 55432-3142
(612) 886-5254
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
X534228832912
MN
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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