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Contact Information

THEODORE MCMENOMY, MD
45 10TH ST W
SAINT PAUL, MN55102
 Phone: 651-232-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for THEODORE MCMENOMY · (Male)

NPI Number 1811036809
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2007
Last updated 08/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 57429
  • MN License # 51402
  • NM License # 2005-0350
  • WI License # 56538-20
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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