Individual
SARAH E. MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5411 MEIJER DR, FORT WAYNE, IN 46835-9487
(260) 469-6919
Mailing address
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027350
—
IN
Enumeration date
07/05/2011
Last updated
06/20/2016
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