Individual
DR. GARY JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 572-5710
(763) 569-6200
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19788
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108809
MEDICA #
MN
01
—
1000882
PREFERRED ONE
MN
01
—
106429
UCARE MN #
MN
01
—
11602MI
BCBS OF MN
MN
01
—
21448
AMERICA'S PPO
MN
01
—
4044539
AETNA INS
MN
01
—
6603844
MEDICA UC #
MN
01
—
HP19901
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
07/09/2007
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