# MICHAEL G. MINTER MDSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720131733
- **Authorized official:** DR. MICHAEL G. MINTER MD (PRESIDENT)
- **Authorized official phone:** (414) 425-8518

## Contact information

- **Practice address:** 9200 W LOOMIS RD STE 203, FRANKLIN, WI 53132-9658
- **Practice address phone:** (414) 425-8518
- **Practice address fax:** (414) 425-8517
- **Mailing address:** 9200 W LOOMIS RD STE 203, FRANKLIN, WI 53132-9658
- **Mailing address phone:** (414) 425-8518
- **Mailing address fax:** (414) 425-8517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 18238020 | WI | Yes |

## Other

- **Enumeration date:** 01/21/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30237100 | — | WI |