Individual
TIMOTHY L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 2ND AVE S, HOPKINS, MN 55343-7782
(952) 428-1900
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28963
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644082700
—
MN
Enumeration date
06/30/2006
Last updated
12/05/2011
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