Individual
DR. JOHN E MINER
Active
Individual
DR. JOHN E MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
JM062781
MI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301062781
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014421
RAILROAD MEDICARE
MI
01
—
0704107011
BLUE SHIELD
MI
01
—
JM062781
STATE LICENSE
MI
Enumeration date
10/24/2005
Last updated
08/28/2026
Update your record
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