Individual
DR. JOHN MICHAEL MINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2299 PEARL ST STE 105, BOULDER, CO 80302-4669
(303) 736-9343
(855) 667-9565
Mailing address
3260 CRIPPLE CREEK TRL, BOULDER, CO 80305-7194
(330) 421-4237
(855) 667-9565
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
CHIR009623
GA
111NS0005X
Sports Physician Chiropractor
Primary
CHR.0007584
CO
Other
Enumeration date
01/13/2016
Last updated
03/17/2018
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