Individual
MR. MICHAEL CHARLES MENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN-BC
Contact information
Practice address
110 NAVAL NUCLEAR POWER TRAINING COMMAND CIR, GOOSE CREEK, SC 29445
(858) 794-6835
Mailing address
110 NAVAL NUCLEAR POWER TRAINING COMMAND CIR, GOOSE CREEK, SC 29445
(858) 794-6835
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001254793
VA
Other
Enumeration date
09/30/2008
Last updated
10/28/2024
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