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NPI Code Detail

MEDICARE: WILLIAM JOHN MINER M.D.

MEDICARE:   WILLIAM JOHN MINER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician7016SD

General Provider Information

NPI Number : 1962600387
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JOHN MINER M.D.
Provider Business Mailing Address
First Line : PO BOX 1411
Second Line :
City : HURON
State : SD
Zip : 57350-1411
Country : US
Telephone Number : 605-352-8767
Fax Number : 605-352-8784
Provider Business Practice Location Address
First Line : 455 KANSAS AVE SE
Second Line :
City : HURON
State : SD
Zip : 57350-2522
Country : US
Telephone Number : 605-352-8767
Fax Number : 605-352-8784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 11/03/2009

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Directions to “ WILLIAM JOHN MINER M.D.” Practice Location

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