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Individual

DR. JOHN WILLIAM MENARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 TOWNCENTER BLVD, SUITE B, TUSCALOOSA, AL 35406-1822
(205) 391-9038
(205) 391-4688
Mailing address
401 TOWNCENTER BLVD, SUITE B, TUSCALOOSA, AL 35406-1822
(205) 391-9038
(205) 391-4688

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14811
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009942467
AL
01
051540312
BLUE CROSS/BLUE SHIELD OF ALABAMA
AL
Enumeration date
03/10/2006
Last updated
11/06/2015
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