Individual
DANIELA NICOLA MINECAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 1ST FLOOR UNIVERSITY HOSPITAL ROOM1B300, ANN ARBOR, MI 48109-5036
(734) 936-9035
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
4301061125
MI
2084N0600X
Clinical Neurophysiology Physician
Primary
4301061125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4227353
—
MI
Enumeration date
10/17/2006
Last updated
05/29/2012
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