Individual
MISS DANISE JOANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
222 4TH ST NE, STAPLES, MN 56479-2428
(218) 894-1331
(218) 894-1335
Mailing address
5782 GORRON RD, BRAINERD, MN 56401-2498
(320) 630-1214
(320) 632-2558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2873
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132744500
—
MN
Enumeration date
10/14/2005
Last updated
08/17/2016
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