Individual
THOMAS RAY MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1121 3RD ST SW, DYERSVILLE, IA 52040-1725
(563) 875-2776
(563) 875-7657
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02121
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091983
—
IA
Enumeration date
05/19/2006
Last updated
01/12/2011
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