Organization
MICHAEL G. MINTER MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G. MINTER MD (PRESIDENT)
(414) 425-8518
Entity
Organization
Contact information
Practice address
9200 W LOOMIS RD STE 203, FRANKLIN, WI 53132-9658
(414) 425-8518
(414) 425-8517
Mailing address
9200 W LOOMIS RD STE 203, FRANKLIN, WI 53132-9658
(414) 425-8518
(414) 425-8517
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18238020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30237100
—
WI
Enumeration date
01/21/2007
Last updated
08/22/2020
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