Individual
STANLEY L MINKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
724 MAIDEN CHOICE LN, #203, BALTIMORE, MD 21228-5917
(410) 455-0200
(410) 455-0009
Mailing address
724 MAIDEN CHOICE LN, #203, BALTIMORE, MD 21228-5917
(410) 455-0200
(410) 455-0009
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0011937
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
770002997
—
MD
Enumeration date
03/10/2006
Last updated
08/20/2013
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