Individual
JAMES ANDREW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 LOOKOUT DR, NORTH MANKATO, MN 56003-2503
(507) 625-5027
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40074
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104105
MEDICA
MN
01
—
0121056
MEDICA
MN
01
—
080149994
RR MEDICARE
—
01
—
123693
UCARE
MN
01
—
41084933956001C135
CHAMPUS
—
01
—
41B85MI
BCBS
MN
01
—
914211
AMERICAS PPO
MN
05
—
985518100
—
MN
01
—
HP29064
HEALTH PARTNERS
MN
01
—
NA2951023849
PREFERRED ONE
MN
Enumeration date
01/09/2006
Last updated
07/15/2020
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