Individual
DR. TODD MERENIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
504 AZALEA DR DEPT OF, OXFORD, MS 38655-5397
(662) 636-4300
Mailing address
504 AZALEA DR DEPT OF, OXFORD, MS 38655-5397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
28747
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
05/03/2021
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