Minto K Porter in Brainerd - Allergy & Immunology

Minto K Porter - NPI 1790776623

Minto K Porter is a Allergy & Immunology in Brainerd, Minnesota. Minto K Porter practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Minto K Porter is 1790776623. The last update date is 2016-01-08.

Minto K Porter's current location address is 523 N 3rd St, Brainerd, Minnesota. You can contact this provider via phone number 2188292861. The mailing address for Minto K Porter is 523 N 3rd St, Brainerd, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Minto K Porter
Address 523 N 3rd St, Brainerd, Minnesota
Phone Number 2188292861
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790776623
Provider Enumeration Date 2005-10-31
Last Updated Date 2016-01-08

Provider Mailing Address Detail

Address 523 N 3rd St
City Brainerd
State Minnesota (MN)
Post Code 564013054
Phone Number 2188292861
Fax Number

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 46609
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1202864 MEDICA HEALTH PLANS
315M2PO BLUE CROSS BLUE SHIELD
1041076 PREFERRED ONE
131482 U CARE
2121655 ARAZ GROUP
183492400 MEDICAL ASSISTANCE
HP42090 HEALTH PARTNERS
2197249 FIRST HEALTH PLAN

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FAQs about Minto K Porter

What is the unique identifier code issued to Minto K Porter by the Centers for Medicare & Medicaid Services (CMS)?

The Minto K Porter has been assigned the NPI (National Provider Identifier) 1790776623. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Minto K Porter is physically located?

The Minto K Porter is situated at the following address: 523 N 3Rd St, Brainerd, MN 564013054.

What is Minto K Porter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Minto K Porter is Allergy & Immunology, and the taxonomy code that classifies this field of practice is 207K00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790776623 to Minto K Porter?

The Centers for Medicare & Medicaid Services originally issued the 1790776623 to Minto K Porter on 2005-10-31.

When was the information regarding Minto K Porter most recently updated?

The details pertaining to the Minto K Porter, including its address, specialty, and other relevant information, were last refreshed on 2016-01-08.

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