| NPI | 1184848004 |
|---|---|
| Other Name | BARRY G MENNEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0072173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0072173) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-04-02 |