Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 106671 | MN |
N | 207V00000X | Obstetrician & Gynecologist | 62430 | WI |
Y | 207VX0201X | Gynecologic Oncologist | 84635 | GA |
NPI | 1194068601 |
---|---|
Provider Name | Donald D Menya |
First Address | Appleton, WI 54914-8273 |
Second Address | Tifton, GA 31794-1644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 29/09/2020 |