Individual
GREGORY A MINEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1290 B ST, SUITE 305, HAYWARD, CA 94541-2948
(510) 881-5203
(510) 881-5180
Mailing address
1290 B STREET, SUITE 305, HAYWARD, CA 94541
(510) 881-5203
(510) 881-5180
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0041590
—
CA
Enumeration date
10/04/2006
Last updated
01/26/2010
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