Individual
MR. BRENT OHSE MENNINGER
Active
Individual
MR. BRENT OHSE MENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-23396
KS
2084P0800X
Psychiatry Physician
0423396
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27023037
BLUE CROSS BLUE SHIELD
MO
01
—
35388014
BCBS GROUP NUMBER
MO
01
—
66211A002
TRICARE
KS
Enumeration date
06/28/2006
Last updated
11/04/2013
Update your record
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