John E Miner in Grand Rapids - Dermatology

John E Miner - NPI 1023008844

John E Miner is a Dermatology in Grand Rapids, Michigan. John E Miner practices all healthcare services and medical treatments related to Dermatology. The NPI Number for John E Miner is 1023008844. The last update date is 2022-04-14.

John E Miner's current location address is 1740 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169495600 and fax number 6169496571. The mailing address for John E Miner is 1740 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John E Miner
Address 1740 E Paris Ave Se, Grand Rapids, Michigan
Phone Number 6169495600
Fax Number 6169496571
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1023008844
Provider Enumeration Date 2005-10-24
Last Updated Date 2022-04-14

Provider Mailing Address Detail

Address 1740 E Paris Ave Se
City Grand Rapids
State Michigan (MI)
Post Code 495466204
Phone Number 6169495600
Fax Number 6169496571

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No JM062781
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70014421 MI RAILROAD MEDICARE
704107011 MI BLUE SHIELD
JM062781 MI STATE LICENSE

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FAQs about John E Miner

What is the unique 10-digit identification code issued to John E Miner by the Centers for Medicare & Medicaid Services?

The John E Miner has been assigned the NPI (National Provider Identifier) 1023008844 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where John E Miner is geographically located?

The John E Miner is physically situated at the following location: 1740 E Paris Ave Se, Grand Rapids, MI, 495466204.

What is John E Miner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John E Miner's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023008844 to John E Miner?

The Centers for Medicare & Medicaid Services originally issued the 1023008844 to John E Miner on 2005-10-24.

When was the information pertaining to John E Miner most recently updated or revised?

The details related to John E Miner, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-14.

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