Individual
CATHERINE MINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 MAIN AVE W, ROLLA, ND 58367
(701) 477-9050
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ND
Enumeration date
11/10/2015
Last updated
11/10/2015
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