Individual
MR. DANIEL QUINN MINTER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2930 W CLEVELAND ROAD EXT, SOUTH BEND, IN 46628-6090
(574) 335-8450
(574) 335-0780
Mailing address
2930 W CLEVELAND ROAD EXT, SOUTH BEND, IN 46628-6090
(574) 335-8450
(574) 335-0780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01094484A
IN
Other
Enumeration date
03/29/2021
Last updated
08/01/2024
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