Individual
MR. DANIEL QUENTIN MINERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. O.
Contact information
Practice address
10020 PROFESSIONAL DRIVE, SUITE 140, HAMBURG, MI 48139-0215
(810) 231-6905
(810) 231-6906
Mailing address
PO BOX 215, HAMBURG, MI 48139-0215
(810) 231-6905
(810) 231-6906
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4489299
—
MI
01
—
510D703120
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
02/21/2006
Last updated
04/15/2011
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