Organization
WALTER A. MINAERT, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER AUGUST MINAERT JR. M.D. (PRESIDENT/PHYSICIAN)
(315) 782-1990
Entity
Organization
Contact information
Practice address
21017 NYS RTE 12F, WATERTOWN, NY 13601-1078
(315) 782-1990
(315) 782-1037
Mailing address
21017 NYS RTE 12F, WATERTOWN, NY 13601-1078
(315) 782-1990
(315) 782-1037
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
122792
NY
Other
Enumeration date
08/20/2008
Last updated
03/12/2009
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