Joseph Thomas Minich OTHER

NPI 1346454808 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1346454808
Gender Male
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2410 SAMPSON ST BLDG 237
GREAT LAKES IL, 60088-2942, US
Phone (847) 688-2469
Fax
Business Location
9517 69TH ST
KENOSHA WI, 53142-8114, US
Phone (708) 280-7356
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Mr. Joseph Thomas Minich OTHER NPI is 1346454808, taxonomy code is 1710I1002X Joseph Thomas Minich OTHER physically located at 2410 Sampson St Bldg 237, Great Lakes IL, 60088-2942. NPI Number Joseph Thomas Minich OTHER has the Individual type.

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1346454808 NPI number is provided on an as is basis without warranty of any kind. 1346454808 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Thomas Minich OTHER are for informational purposes only.