Individual
JOHN THOMAS MINTURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11220 ILLINOIS ST STE 130, CARMEL, IN 46032-8887
(317) 817-1586
(317) 817-1399
Mailing address
11220 ILLINOIS ST STE 130, CARMEL, IN 46032-8887
(317) 817-1586
(317) 817-1399
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01035051A
IN
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
01035051A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226850B
—
IN
Enumeration date
07/26/2005
Last updated
05/08/2025
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