Individual
DR. MARK MICHAEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4212
Mailing address
4444 MINNEHAHA AVE, APT. 201, MINNEAPOLIS, MN 55406-3950
(218) 341-3953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21939
MN
Other
Enumeration date
06/24/2009
Last updated
03/11/2021
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