Individual
DR. SHANE DONALD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2911 N 14TH ST, SUITE 102, BISMARCK, ND 58503-0659
(701) 221-2636
(701) 221-2637
Mailing address
521 ARABIAN AVE, BISMARCK, ND 58503-8207
(701) 221-2636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
663
ND
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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