Individual
STEPHANIE ANN LILL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2830 N WASHINGTON ST, BISMARCK, ND 58503-1482
(701) 323-6000
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
51203
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00849738
MEDICARE RAILROAD
MN
Enumeration date
07/06/2007
Last updated
02/07/2013
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