Individual
MR. MICHAEL PHILIP MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 740-8184
Mailing address
32 OAKVIEW TER, #2, JAMAICA PLAIN, MA 02130-4902
(617) 522-5759
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
169059
MA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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