Individual
MR. ROBERT P MENAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
109 JENNA DR, VERONA, WI 53593-8312
(608) 845-5933
Mailing address
109 JENNA DR, VERONA, WI 53593-8312
(608) 845-5933
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
46991-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39829700
—
WI
Enumeration date
08/24/2007
Last updated
08/24/2007
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