Individual
STEVE MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101013574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43513200
—
WI
01
—
4824069
MOLINA HEALTHCARE
MI
05
—
4824069
—
MI
01
—
G36004068
MEDICARE PTAN
MI
01
—
P00273202
RAILROAD MEDICARE
MI
Enumeration date
09/29/2006
Last updated
06/04/2010
Update your record
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