Individual
BRANDON MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16820 FRANCES STREET SUITE 100, OMAHA, NE 68130-2391
(402) 933-6600
(409) 933-7123
Mailing address
16820 FRANCES STREET SUITE 100, OMAHA, NE 68130-2391
(402) 933-6600
(409) 933-7123
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
LL38056
SC
390200000X
Student in an Organized Health Care Education/Training Program
R-10120
IA
Other
Enumeration date
06/24/2014
Last updated
02/21/2022
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