Individual
JOE MENGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
10643 VERMILION RD, OBERLIN, OH 44074-9628
(440) 396-9246
(440) 965-5296
Mailing address
1233 W 8TH ST, LORAIN, OH 44052-1561
(440) 204-1136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000211
OH
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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