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Individual

DR. ANDREW GLEN MINER

Active
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Individual

DR. ANDREW GLEN MINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.122891
OH
207N00000X
Dermatology Physician
Primary
ME118731
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HT739Z
MEDICARE PTAN
FL
Enumeration date
04/03/2009
Last updated
06/30/2014
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