Individual
DYLAN HENRY MENEFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2350 N LAKE DR, MILWAUKEE, WI 53211-4528
(414) 659-0211
Mailing address
1510 N MARSHALL ST, MILWAUKEE, WI 53202-2030
(414) 659-0211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5189-23
WI
Other
Enumeration date
08/18/2020
Last updated
08/22/2020
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