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Individual

DR. TAE CHEOL MIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(877) 771-4847
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD030898L
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD030898L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010440280003
PA
05
1044028
PA
Enumeration date
07/04/2006
Last updated
02/13/2017
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