Michael G. Minter MDSC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

18238020 Issued in WI

Legal business name

MICHAEL G. MINTER MDSC

Practice address

9200 W Loomis Rd Ste 203
Franklin, WI 53132-9658

Phone

(414) 425-8518

Fax

(414) 425-8517

NPI assigned

Jan 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael G. Minter, MD

Title

President

Phone

(414) 425-8518

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720131733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W LOOMIS RD STE 203",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329658",
            "telephone_number": "414-425-8518",
            "fax_number": "414-425-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W LOOMIS RD STE 203",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329658",
            "telephone_number": "414-425-8518",
            "fax_number": "414-425-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. MINTER MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-425-8518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "18238020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30237100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Franklin, WI
• Providers in Franklin, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.