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Individual

DR. MICHAEL PAUL MINNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
830 THOMAS MORE PKWY, SUITE 200 B, EDGEWOOD, KY 41017-5102
(859) 301-8686
(859) 301-8690
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3383
(859) 578-2013

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33247
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2389115
OH
05
64332471
KY
Enumeration date
04/28/2006
Last updated
09/21/2018
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