Individual provider · Type 1 NPI

Mark Menge

Hematology & Oncology Physician · St. Louis Park, MN

NPI number 1760469928 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Call (952) 993-3248 Map

Mailing address

6465 Wayzata Blvd, Suite 315
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X42436 (MN)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1760469928

Mark Menge's National Provider Identifier is 1760469928, issued on Dec 29, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 6, 2011.