Dr. John E Miner
Dermatologist
1740 E Paris Ave Se
Grand Rapids
, Michigan 49546-6204
Dr. John E Miner
Dermatologist
1740 E Paris Ave Se
Grand Rapids
, Michigan 49546-6204
(616) 949-6571
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. John E Miner
- 1740 E Paris Ave Se
- Grand Rapids, MI
- Zip : 49546-6204
- Fax : (616) 949-6571
- Phone : (616) 949-5600
Second Address
- Dr. John E Miner
- 1740 E Paris Ave Se
- Grand Rapids, MI
- Zip : 49546-6204
- Fax : (616) 949-6571
- Phone : (616) 949-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | JM062781 | MI |
National Provider Identifier
| NPI | 1023008844 |
|---|---|
| Provider Name | Dr. John E Miner |
| First Address | Grand Rapids, MI 49546-6204 |
| Second Address | Grand Rapids, MI 49546-6204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2005 |
| Last Update Date | 23/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070014421 | RAILROAD MEDICARE (01) | MI |
| 0704107011 | BLUE SHIELD (01) | MI |
| JM062781 | STATE LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.