Individual
BROCK MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100
Mailing address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.452752
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020602
OH
Other
Enumeration date
08/08/2022
Last updated
10/03/2022
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