Individual
MATTHEW JOEL MINTURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 212-1883
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 212-1883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
112973
IA
363A00000X
Physician Assistant
Primary
2736
NE
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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