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Individual

UNA CLARE MINITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 JOHN DEERE RD STE 200, MOLINE, IL 61265-6897
(309) 779-4200
(309) 779-4305
Mailing address
600 JOHN DEERE RD STE 200, MOLINE, IL 61265-6897
(309) 779-4200
(309) 779-4305

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036160480
IL
207N00000X
Dermatology Physician
MD176337
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500659596
OR
Enumeration date
04/03/2012
Last updated
07/28/2023
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