Most Relevant Information
Provider Data
| NPI Number: | 1003245341 |
| Provider Name: | MATTHEW MINARIK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | MA056138 |
Most Important Dates
| Enumeration Date: | 11/07/2013 |
| Last Updated: | 11/16/2016 |
Provider Practice Location
7750 TOWN CENTRE DR STE 300
BROADVIEW HEIGHTS
OH
441474040
Practice Location Phone/Fax
| Phone: | 8772838863 |
| Fax: |
Provider Mailing Location
7750 TOWN CENTRE DR STE 300
BROADVIEW HEIGHTS
OH
441474040
Provider Mailing Phone/Fax
| Phone: | 8772388863 |
| Fax: |