MR. JOSEPH MINICH, OTHER

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1346454808

Practice Address

2410 SAMPSON ST BLDG 237
Great Lakes, IL 60088

Phone: (847) 688-2469

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1346454808 is the National Provider Identifier for MR. JOSEPH MINICH, OTHER, a Military Health Care Provider - Independent Duty Corpsman provider located in Great Lakes, IL. This NPI was enumerated on May 10, 2007.
MR. JOSEPH MINICH, OTHER practices at 2410 SAMPSON ST BLDG 237, Great Lakes, IL 60088.

Quick Facts

NPI
1346454808
Type
Individual
Enumerated
May 10, 2007
Last Updated
Jul 8, 2007

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