Individual
RANDALL K MINION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 AVENUE M W, FORT DODGE, IA 50501-5789
(515) 576-7261
Mailing address
211 AVENUE M W STE A, FORT DODGE, IA 50501-5789
(515) 576-7261
(515) 955-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33067
IA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
10606
IA
Other
Enumeration date
02/01/2006
Last updated
06/24/2024
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