Individual
DR. NATHAN JOHN MENNINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
3124 PATTY LN, MIDDLETON, WI 53562-1651
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
18887-40
WI
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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