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Individual

MELISSA ROSE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 E 1ST ST, SUITE LL, DULUTH, MN 55805-2297
(218) 722-5629
(218) 722-5148
Mailing address
1000 E 1ST ST, SUITE LL, DULUTH, MN 55805-2297
(218) 722-5629
(218) 722-5148

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
45865
MN
207V00000X
Obstetrics & Gynecology Physician
Primary
45865
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0703528
MEDICA
05
0884324000
ME
01
1035227
PREFFERRED ONE
01
104K8ST
BLUE CROSS OF MN
01
171885
UCARE
05
34426900
WI
01
A015
TRICARE
01
HP39516
HEALTH PARTNERS
Enumeration date
03/14/2006
Last updated
02/06/2017
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