Individual
DR. MICHAEL J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2312 SOUTH 6TH ST, SUITE F256 / 2B W U OF M PHYSICIANS, MINNEAPOLIS, MN 55454
(612) 273-9800
Mailing address
2312 SOUTH 6TH ST,, SUITE F256 / 2B W U OF M PHYSICIANS, MINNEAPOLIS, MN 55454
(612) 273-9800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4661
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP4661
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493340
—
MT
05
—
0716035
—
IA
01
—
1046325
PREFERRED ONE
—
01
—
731T9MI
BLUE CROSS BLUE SHIELD
—
01
—
HP60262
HEALTHPARTNERS
—
01
—
UCARE
113355
—
Enumeration date
11/01/2006
Last updated
09/11/2025
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