Individual
PETER JOHN MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036103184
IL
208800000X
Urology Physician
MD00037206
WA
Other
Enumeration date
02/15/2012
Last updated
03/11/2024
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