Individual
MICHAEL JOSEPH MENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-2370
Mailing address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-2370
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2009-00825
NC
207X00000X
Orthopaedic Surgery Physician
25711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30838511
—
TN
01
—
3378742
MEDICARE GROUP
TN
Enumeration date
08/19/2006
Last updated
03/20/2013
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