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Individual

HARRISON CHARLES MCMINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3009 N BALLAS RD STE 227A, SAINT LOUIS, MO 63131-2308
(314) 996-7800
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021021827
MO
207R00000X
Internal Medicine Physician
Primary
2023035473
MO

Other

Enumeration date
06/17/2021
Last updated
09/19/2025
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