Individual
DR. BRIAN V MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 SMITH AVE N STE 400, SAINT PAUL, MN 55102-2568
(651) 290-0133
(651) 241-2910
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34900
MN
2086S0129X
Vascular Surgery Physician
Primary
34900
MN
2086S0129X
Vascular Surgery Physician
MD-44408
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020024631
RAILROAD MEDICARE
MN
01
—
1700304
MEDICA
MN
05
—
31783000
—
WI
05
—
984762600
—
MN
Enumeration date
06/15/2006
Last updated
11/10/2020
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