Individual
DR. THOMAS MATHEW MINIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
765 KENILWORTH AVE, WASHINGTON, DC 20019
(202) 469-4699
Mailing address
1982 N PROSPECT AVE, APT. #2B, MILWAUKEE, WI 53202-1494
(414) 220-9860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45869
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34402800
—
WI
01
—
45869
STATE LICENSE NUMBER
WI
Enumeration date
03/18/2006
Last updated
08/01/2025
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