Individual
MICHAEL E MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5744
Mailing address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5744
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
222612
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110038653A
—
MA
Enumeration date
01/04/2007
Last updated
10/24/2011
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