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Individual

DR. FREDRICK A MENGHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

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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