Individual
PETER JOHN MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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