Individual
DR. JERRALD C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
135 1ST AVE E, SHAKOPEE, MN 55379-1309
(952) 378-1813
(952) 378-1826
Mailing address
135 1ST AVE E, SHAKOPEE, MN 55379-1309
(952) 378-1813
(952) 378-1826
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4822
MN
Other
Enumeration date
11/28/2006
Last updated
12/17/2015
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