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General NPI Number Information
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NPI Number | 1053524017
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Entity Type | Individual
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Provider Name | DAVID ANTHONY MINTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-338-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 711 E 3RD ST
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City | ROYAL OAK
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State | MI
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Zip | 48067-2860
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Country | US
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Telephone | 517-410-1699
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101016960
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101016960
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License Number State | MI
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