MYRNA R MENESES M.D.
Allergy and Immunology
Marquette, Michigan
Provider NPI: 1659326627
Provider Information:MYRNA R MENESES M.D.
Practice Location:
1414 W FAIR AVE SUITE 108 MARQUETTE, MI 49855 US
Tel: 906-225-3936 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | MI | 4301054887 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD MI | 0305210272 | MA | 01 |
| 102593507 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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