Organization
MICHELLE B. MINTZER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE B. MINTZER M.D. (PRESIDENT)
(913) 111-1111
Entity
Organization
Contact information
Practice address
600 CAISSON HILL RD, FT RILEY, KS 66442-7037
(913) 111-1111
Mailing address
1228 WESTLOOP PL, PMB 214, MANHATTAN, KS 66502-2840
(913) 111-1111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0423698
KS
2084P0804X
Child & Adolescent Psychiatry Physician
0423698
KS
Other
Enumeration date
01/10/2007
Last updated
08/23/2013
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