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Individual

DR. CARL AUGUSTINE MINNING JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2935 MAPLE AVE, ZANESVILLE, OH 43701-1487
(740) 454-1216
(740) 454-3830
Mailing address
2935 MAPLE AVE, ZANESVILLE, OH 43701-1487
(740) 454-1216
(740) 454-3830

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35044923M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3415986091A11
BC/BS
OH
05
477596
OH
01
800198
UHC
OH
01
M44923
HPUOV
OH
Enumeration date
05/23/2005
Last updated
07/09/2007
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