Individual
LEE PATRICK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SOUTH MINNESOTA AVENUE, STE 112, SIOUX FALLS, SD 57105-6706
(605) 335-3349
(605) 336-8436
Mailing address
4201 SOUTH MINNESOTA AVENUE, STE 112, SIOUX FALLS, SD 57105-6706
(605) 335-3349
(605) 336-8436
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4092
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919563
—
IA
05
—
10025286300
—
NE
05
—
124216400
—
MN
01
—
240005059
RAILROAD MEDICARE
—
05
—
7301460
—
SD
Enumeration date
01/16/2006
Last updated
06/20/2011
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