NPI 1407365018

Brennan Anthony Menninger, DPM

Practitioner Podiatrist Renton, WA

Practice location

Address: 4300 Talbot Rd S STE 102, Renton, WA 98055-6238
Phone: (425) 277-3668
Fax: (425) 277-0732
Mailing address: 3439 E Lake Samm Shore Ln NE, Sammamish, WA 98074-4345

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence PO61152524 (WA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1407365018
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2017
Record last updated: 20 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.