Individual
MIN MIN MAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 248-5411
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD462299
PA
208M00000X
Hospitalist Physician
Primary
MD462299
PA
Other
Enumeration date
08/03/2014
Last updated
11/01/2019
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