Individual
RICHARD L MINNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17009
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17009
WI LICENSE
WI
Enumeration date
07/07/2006
Last updated
07/19/2010
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