Individual
ROBERT W MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 CAREW ST, FORT WAYNE, IN 46805-4788
(260) 446-2234
Mailing address
3008 KENNEDY DR, FORT WAYNE, IN 46815-8047
(260) 446-2234
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01064141A
IN
Other
Enumeration date
01/08/2007
Last updated
03/12/2015
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