Individual
DR. JOHN SHREVE MINKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303A GLYNN AVE, BRUNSWICK, GA 31520-4406
(912) 466-9500
(912) 466-9922
Mailing address
3303A GLYNN AVE, BRUNSWICK, GA 31520-4406
(912) 466-9500
(912) 466-9922
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
79038
GA
207W00000X
Ophthalmology Physician
D23417
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD8278
RRMCR
GA
01
—
P02076020
MEDICARE PTAN
GA
Enumeration date
10/18/2006
Last updated
02/16/2023
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