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Individual

MARY B MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
8710 MANCHESTER RD, SAINT LOUIS, MO 63144-2724
(314) 941-3570
(314) 961-6450
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
132345
MO
363LF0000X
Family Nurse Practitioner
132345
MO

Other

Enumeration date
03/19/2007
Last updated
05/20/2013
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