Individual
DR. RONALD DEAN MINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E MAIN ST, 2A PPE, CARBONDALE, IL 62901-3100
(618) 549-9385
(618) 549-8795
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 549-9385
(618) 549-8795
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036-050797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027533
HEALTH ALLIANCE
IL
01
—
03927935
BLUE CROSS/ BLU SHIELD
IL
01
—
101269
HEALTHLINK
IL
Enumeration date
09/21/2006
Last updated
12/23/2014
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