Individual
DR. FREDRICK A MENGHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1903 S 6TH ST, BRAINERD, MN 56401-4599
(218) 829-1728
(218) 829-1729
Mailing address
1903 S 6TH ST, BRAINERD, MN 56401-4599
(218) 829-1728
(218) 829-1729
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11406
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150947
UCARE
MN
01
—
15473
DORAL DENTAL
MN
01
—
76B22-ME
BLUE PLUS MNCARE
MN
01
—
850000290
RAILROAD MEDICARE
MN
01
—
86-00244
MEDICA MNCARE-LITTLE FALL
MN
01
—
86-00245
MEDICA MNCARE-BRAINERD
MN
01
—
86-00246
MEDICA MNCARE-BEMIDJI
MN
01
—
86-00411
MEDICA MNCARE-DETROIT LAK
MN
05
—
933132800
—
MN
Enumeration date
01/18/2006
Last updated
05/11/2011
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