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Individual
DON S MINCKLER
Active
Individual
DON S MINCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
G33305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G333050
BLUE SHIELD
CA
05
—
00G333050
—
CA
01
—
WG33305D
MEDICARE PTAN
CA
Enumeration date
07/07/2006
Last updated
09/26/2019
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