Individual
CHARLES MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8613 N 30TH ST, OMAHA, NE 68112-1852
(402) 453-9900
(402) 453-5617
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12171
NE
Other
Enumeration date
01/11/2007
Last updated
08/23/2011
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