Individual
DR. DENNIS MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1537 SOUTH BREIEL BOULEVARD, MIDDLETOWN, OH 45044-6703
(513) 425-8300
(513) 425-8301
Mailing address
1537 SOUTH BREIEL BOULEVARD, MIDDLETOWN, OH 45044-6703
(513) 425-8300
(513) 425-8301
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
207RG0100X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369974
ANTHEM
OH
01
—
043814799
TAX ID#
OH
05
—
2460877
—
OH
Enumeration date
11/20/2005
Last updated
04/25/2014
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