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Individual

RICHARD PAUL MENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
152 W DALE ST, WATERLOO, IA 50703-1925
(319) 236-1911
(319) 287-5832
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 236-1911
(319) 287-5832

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19351
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1186031
IA
01
19274
WELLMARK INS PLAN
IA
01
42141730717
JOHN DEERE HEALTH INS PLA
IA
Enumeration date
05/18/2006
Last updated
09/06/2007
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