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Individual

MICHELLE MILLAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
234 2ND ST SW, BLOOMING PRAIRIE, MN 55917-1319
(507) 440-9316

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1526622
MN

Other

Enumeration date
09/27/2023
Last updated
09/27/2023
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