Individual
JEANETTE C MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1406 6TH AVE N, ST CLOUD HOSPITAL ETC, ST CLOUD, MN 56303
(320) 255-5656
(320) 656-7044
Mailing address
1406 6TH AVE N, ST CLOUD, MN 56303
(320) 255-5656
(320) 656-7044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9318
MN
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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