Individual
ANTHONY MINIACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6150 OAK TREE BLVD STE 100A, INDEPENDENCE, OH 44131-6917
(440) 743-8145
(216) 201-6382
Mailing address
6150 OAK TREE BLVD STE 100A, INDEPENDENCE, OH 44131-6917
(440) 743-8145
(216) 201-6382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.014466
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2018
Last updated
08/15/2021
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