Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miles Benjamin Menuck, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831983279

Miles Benjamin Menuck, DO is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-7765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1831983279
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address2200 Randallia Dr, Fort Wayne, IN 46805-4638

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