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Dr. Carl Augustine Minning JR.
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Carl Augustine Minning JR. |
Gender: | M |
Provider License Number If Given: | 35044923M |
NPI Information:
NPI: | 1316940513 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 7/9/2007 |
Provider Business Mailing Address:
Address: | 2935 MAPLE AVE Zanesville, OH 43701 |
Phone Number: | 7404541216 |
Fax Number: | 7404543830 |
Provider Business Practice Location Address:
Address: | 2935 MAPLE AVE Zanesville, OH 43701 |
Phone Number: | 7404541216 |
Fax Number: | 7404543830 |
Provider Taxonomy:
Primary: | 207W00000X |
Secondary (if any): | |
State: | OH |