Individual
JEAN F. MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2854
(570) 887-2338
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD461490
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278461100
—
FL
Enumeration date
05/10/2007
Last updated
03/17/2021
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