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Individual
DR. MARK R MINOR
Active
Individual
DR. MARK R MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD044701L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072073720003
—
PA
01
—
251881378
UNITED HEALTH CARE
PA
01
—
MI674735
HIGHMARK
PA
Enumeration date
01/17/2007
Last updated
04/06/2011
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