Individual
DR. MICHAEL FRANCIS MINITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2202 18TH AVE, ROCK ISLAND, IL 61201-3614
(309) 793-3400
(309) 793-7323
Mailing address
2202 18TH AVE, ROCK ISLAND, IL 61201-3614
(309) 793-3400
(309) 793-7323
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036081977
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081977
—
IL
01
—
K06474
MEDICARE IND. PROVIDER #
IL
Enumeration date
01/11/2006
Last updated
08/06/2008
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