Individual
DR. FREDRICK J MENNINGER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
168 N BRENT ST STE 302, VENTURA, CA 93003-2840
(805) 652-6373
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
(805) 667-2865
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G62562
CA
Other
Enumeration date
04/21/2006
Last updated
03/08/2021
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