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Individual

SHIN MINEISHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8401
(717) 531-5076
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085070
MI
207RH0003X
Hematology & Oncology Physician
31533
AL
207RX0202X
Medical Oncology Physician
4301085070
MI
207RX0202X
Medical Oncology Physician
Primary
MD458676
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4704703
MI
Enumeration date
10/31/2006
Last updated
07/25/2016
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