| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AUSTIN MINNICK | 1649932344 | 2021-10-10 |
Austin Minnick is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649932344. Registration indicates Austin Minnick is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Austin Minnick PA-C |
| Practice Office Address | 2049 E 100TH ST CLEVELAND, OH US |
| Practice Office Telephone | 2164446126 |
| Mailing Address | 1495 WHITE ASH DR PAINESVILLE, OH 440775468 US |
| Business Telephone | 4402277179 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 50.007220RX
OH |