Individual
DR. MICHAEL LOUIS MINCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-9595
Mailing address
9406 WARREN ST, SILVER SPRING, MD 20910-1353
(301) 587-6073
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R209445
MD
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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