Individual
MANUEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
35401 MISSION DR, ST IGNATIUS, MT 59865-7791
(406) 745-3525
Mailing address
528 HICKORY ST, MISSOULA, MT 59801-2530
(818) 564-8597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-130085
MT
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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