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Individual

TIMOTHY DUTCH MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
575 S 70TH ST STE 200, LINCOLN, NE 68510
(402) 488-3322
Mailing address
575 S 70TH ST STE 200, LINCOLN, NE 68510-2471
(402) 488-3322

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111076
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245461011
NPI
Enumeration date
07/28/2009
Last updated
06/08/2018
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