Individual
PETER MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 FOREST KNOLL CT, EAU CLAIRE, WI 54701-5611
(715) 210-1147
Mailing address
1601 SW 51ST TER, GAINESVILLE, FL 32607-5681
(352) 392-6622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2018
Last updated
07/16/2020
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