DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD ERIC MINNIHAN, M.D.

Active

DR. RICHARD ERIC MINNIHAN, M.D. is a 207PE0005X healthcare provider located in WESTON, Wisconsin. NPI 1104055854 is currently active in the NPPES registry. Verify at CMS.

207PE0005X · WESTON, WI

Registration Details

NPI Number
1104055854
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2009 (17.114891219134 yrs)
Last Updated
Jan 3, 2017
Licenses
4301094698 (MI)
57415 (WI)
57415 (WI)

Practice Information

Address
3301 CRANBERRY BLVD
WESTON, WI, 544765216
Browse WI providers · Browse ZIP 54476
Phone
7153933900
Primary Specialty
207PE0005X
207PE0005X
Additional Specialty
207PE0005X
Additional Specialty
Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.