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Individual

DAVID JOHN MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50296
MN
2085R0203X
Therapeutic Radiology Physician
G77889
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03083CO
BLUE CROSS AND BLUE SHIELD OF MN
MN
01
134996
UCARE
MN
01
1407915226
AMERICA'S PPO
MN
05
1407915226
IA
01
254738
MIDLANDS CHOICE INC
MN
05
34954100
WI
05
612627100
MN
01
960371052306
PREFERRED ONE
MN
01
HP79266
HEALTHPARTNERS
MN
01
P00473006
RR MEDICARE
MN
Enumeration date
12/07/2006
Last updated
10/04/2024
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