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

RICHARD EARL MINTER, D.O.

Active Sole Proprietor

RICHARD EARL MINTER, D.O. is a Family Medicine healthcare provider located in MACOMB, Illinois. NPI 1518036979 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MACOMB, IL

Registration Details

NPI Number
1518036979
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2006 (19.755830399922 yrs)
Last Updated
Jan 21, 2016
Licenses
R4F20 (MO)
R4F20 (MO)
036.139552 (IL)
Sole Proprietor
Yes

Practice Information

Address
505 E GRANT ST STE 202
MACOMB, IL, 614553373
Browse IL providers · Browse ZIP 61455
Phone
3098331729
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Pharmacy
Additional Specialty
Family Medicine

Other Family Medicine Providers in MACOMB, IL

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.