Individual
JENNIFER MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
(920) 735-7618
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL3333
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
3564
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100258026
—
WI
05
—
100258026
—
WV
Enumeration date
04/22/2016
Last updated
10/28/2024
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