Individual
DR. GENEVIEVE M. MINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
722 YORKLYN RD STE 400, HOCKESSIN, DE 19707-8740
(302) 235-2351
Mailing address
4000 NEXUS DR STE E3, WILMINGTON, DE 19803-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0025386
DE
207Q00000X
Family Medicine Physician
MD418976
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019460030001
—
PA
05
—
0237124
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
PA MEDICARE GROUP
PA
01
—
P00010730
RR MEDICARE PIN
PA
Enumeration date
02/03/2006
Last updated
04/21/2023
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