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Individual
DR. MICHAEL C MINTZER
Active
Individual
DR. MICHAEL C MINTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32297
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170936
—
IA
05
—
1225149735
—
IA
01
—
P00821974
RR MEDICARE
IA
Enumeration date
08/31/2006
Last updated
05/22/2012
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