Dr. Mark Allen Menestrina
Family Doctor - Addiction Medicine
12851 E Grand River Brighton Hospital
Brighton
, Michigan 48116-8596
Dr. Mark Allen Menestrina
Family Doctor - Addiction Medicine
12851 E Grand River Brighton Hospital
Brighton
, Michigan 48116-8596
(734) 421-7997
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Mark Allen Menestrina
- 17351 Inkster Rd
- Livonia, MI
- Zip : 48152
- Phone : (734) 421-7997
Second Address
- Dr. Mark Allen Menestrina
- 12851 E Grand River Brighton Hospital
- Brighton, MI
- Zip : 48116-8596
- Fax : (810) 227-6893
- Phone : (810) 227-1211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 045529 | MI |
National Provider Identifier
| NPI | 1265498059 |
|---|---|
| Provider Name | Dr. Mark Allen Menestrina |
| First Address | Livonia, MI 48152 |
| Second Address | Brighton, MI 48116-8596 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.