Individual
ALVIN MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-1368
Mailing address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501015839
MI
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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