Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.098045 | OH |
N | 208600000X | Surgeon | 35.098045 | OH |
N | 2086S0102X | Surgical Critical Care | 35.098045 | OH |
Y | 2086S0120X | Pediatric Surgery | 35.098045 | OH |
NPI | 1568598332 |
---|---|
Provider Name | Peter C Minneci |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 30/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0054504 | (05) | OH |