Individual
DR. THOMAS E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 781-9746
(218) 759-0620
Mailing address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 781-9746
(218) 759-0620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685705100
—
MN
Enumeration date
06/23/2005
Last updated
04/20/2011
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