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Individual

ALEXANDER D MINARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 MATTHEW ST STE 306, MARIETTA, OH 45750-1656
(740) 376-5044
(740) 374-1792
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35080109
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2395313
OH
05
3004155000
WV
Enumeration date
08/12/2005
Last updated
07/14/2020
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