Individual
DR. JEFFREY S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA, MINNEAPOLIS, MN 55455-0356
(612) 273-2800
Mailing address
420 DELAWARE ST SE, MMC 480 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455-0341
(612) 273-2800
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
34245
MN
207RX0202X
Medical Oncology Physician
34245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058599
—
MT
05
—
0507764
—
IA
01
—
100800
UCARE
—
01
—
1009243
PREFERRED ONE
—
05
—
31841700
—
WI
01
—
36-00271
MEDICA PRIMARY
—
01
—
36-24570
MEDICA CHOICE
—
01
—
768266
ARAZ
—
01
—
8D667MI
BLUE CROSS BLUE SHIELD
—
05
—
975007000
—
MN
01
—
HP22080
HEALTH PARTNERS
—
Enumeration date
10/31/2006
Last updated
10/26/2012
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