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Individual

CHRISTINE MARIA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
39108
WI
2085R0202X
Diagnostic Radiology Physician
Primary
46479
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34146100
WI
05
ENROLLED
MN
Enumeration date
05/27/2005
Last updated
11/01/2010
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