Individual
PATRICK M MENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, RADIOLOGY DEPT, MINNEAPOLIS, MN 55426-4702
(952) 993-5391
Mailing address
6465 WAYZATA BLVD, SUITE 210, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43730
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138462700
—
MN
Enumeration date
02/10/2006
Last updated
08/10/2007
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