Individual
DR. KRISTIJAN MINANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 HARRINGTON ST STE 203, MOUNT CLEMENS, MI 48043-2967
(586) 493-9229
(586) 493-4396
Mailing address
1030 HARRINGTON ST STE 203, MOUNT CLEMENS, MI 48043-2967
(586) 493-9229
(586) 493-4396
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301070508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103376134
—
MI
Enumeration date
04/17/2006
Last updated
01/25/2022
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