Individual
GREG W MENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9177 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8519
(626) 354-4037
Mailing address
9177 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8519
(626) 354-4037
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60466784
WA
Other
Enumeration date
09/28/2006
Last updated
06/10/2025
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