Individual
DR. JOHN ROBERT MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
370 3RD AVE S, ISLE, MN 56342
(320) 676-3232
(320) 676-8460
Mailing address
PO BOX 1, ISLE, MN 56342-0001
(320) 676-3232
(320) 676-8460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9332
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9332
PROVIDER LICENSE NUMBER
MN
Enumeration date
06/22/2005
Last updated
07/08/2007
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