Individual
DR. JERI MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 5TH ST SE, COOK, MN 55723-9702
(218) 666-5941
(218) 666-5099
Mailing address
PO BOX 2963, LOVELAND, CO 80539-2963
(970) 962-0058
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21190
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21190
MEDICAL LICENSE
AS
01
—
44076
MEDICAL LICENSE
CO
01
—
47543
MEDICAL LICENSE
MN
Enumeration date
05/11/2006
Last updated
03/07/2023
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