Individual
DR. STEVEN HAVERSTOCK MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVENUE (P7.730), MEDICINE CLINIC, MINNEAPOLIS, MN 55415-1829
(612) 873-2300
(612) 904-4261
Mailing address
701 PARK AVENUE (P7.730), MEDICINE CLINIC, MINNEAPOLIS, MN 55415-1829
(612) 873-2300
(612) 904-4261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00123
MEDICA PRIMARY
—
01
—
04-04710
MEDICA CHOICE
—
05
—
0551531
—
IA
01
—
1031723
PREFERRED ONE
—
01
—
108952
UCARE
—
01
—
1685542
ARAZ
—
01
—
244A4MI
BLUE CROSS BLUE SHIELD
—
05
—
31561900
—
WI
05
—
580062500
—
MN
01
—
HP17903
HEALTH PARTNERS
—
Enumeration date
10/26/2006
Last updated
02/18/2013
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