Individual
DR. SAMANTHA DANIELLE MINC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036.127320
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
27499
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2007
Last updated
04/08/2022
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