Individual
KIERNAN J MINEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 451-7468
Mailing address
228 S 18TH AVE, STURGEON BAY, WI 54235-1000
(920) 746-0090
(920) 746-1072
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
32200
MN
2085R0001X
Radiation Oncology Physician
Primary
44633
WI
2085R0001X
Radiation Oncology Physician
5883
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984365500
—
MN
Enumeration date
01/03/2006
Last updated
09/24/2025
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