Individual
MARK W MENET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6261
(608) 756-6853
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6261
(608) 756-6853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53043-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699975086
BCBSWI
WI
05
—
1699975086
—
WI
01
—
MENETMAR
MERCYCARE INSURANCE
WI
01
—
P01023621DP9181
RR MEDICARE
WI
Enumeration date
07/23/2007
Last updated
10/27/2014
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