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Individual

MICHAEL JAMES MENOLASCINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5245 HHR RANCH ROAD, WILSON, WY 83014-9210
(307) 739-7696
(307) 739-4877
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7696
(307) 739-4877

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4440A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103312300
WY
Enumeration date
08/18/2006
Last updated
08/12/2021
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