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Organization
GRAND FORKS FOOT AND ANKLE CLINIC, PLLC
Active
Organization
GRAND FORKS FOOT AND ANKLE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CARLYLE MILLER DPM (PRESIDENT)
(701) 738-2770
Entity
Organization
Contact information
Practice address
1451 44TH AVE S STE 128D, GRAND FORKS, ND 58201-3434
(701) 738-2770
Mailing address
1451 44TH AVE S STE 128D, GRAND FORKS, ND 58201-3434
(701) 738-2770
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
48
ND
Other
Enumeration date
04/16/2007
Last updated
03/14/2008
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