Individual
DAVID MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(320) 258-8662
Mailing address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7383
MN
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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