Individual
LUKE MENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-8718
Mailing address
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-8718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004775A
IN
207R00000X
Internal Medicine Physician
34.012922
OH
208M00000X
Hospitalist Physician
Primary
34.012922
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249185
—
OH
Enumeration date
03/24/2014
Last updated
05/05/2023
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