Individual
MARY Z MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 HARBOR LN N, PLYMOUTH, MN 55447-5103
(952) 993-8900
Mailing address
6465 WAYZATA BLVD, SUITE 210, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32893
MN
Other
Enumeration date
12/29/2005
Last updated
01/28/2010
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