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Individual

JOSEPH O MENNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-9358
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
45245
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34324200
WI
Enumeration date
08/21/2006
Last updated
11/17/2022
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