Individual
REBECCA M. MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE., MC7375, H4/710C, MADISON, WI 53792-0001
(608) 265-8854
(608) 262-1842
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
68493-20
WI
2086X0206X
Surgical Oncology Physician
Primary
68493-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4521089
—
MI
Enumeration date
09/25/2006
Last updated
01/04/2021
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