Individual
ANDY JONATHAN MINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2829
(612) 416-1301
Mailing address
750 ADAMS ST S, SHAKOPEE, MN 55379-2288
(442) 226-9200
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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