Individual
DR. RYAN J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1006 5TH ST, SUITE 102, CORALVILLE, IA 52241-2901
(319) 338-3801
(319) 338-4003
Mailing address
1006 5TH ST, SUITE 102, CORALVILLE, IA 52241-2901
(319) 338-3801
(319) 338-4003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5740
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132068
—
IA
01
—
14928
WELLMARK
IA
Enumeration date
10/31/2006
Last updated
07/08/2007
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