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Individual

CORY JAY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1575 20TH ST NW STE 101, FARIBAULT, MN 55021-2931
(507) 332-9900
(507) 209-6220
Mailing address
1575 20TH ST NW STE 101, FARIBAULT, MN 55021-2931
(507) 209-6214
(507) 209-6220

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69264
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2017
Last updated
05/28/2021
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