Individual
MARILYN D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1300 GODWARD ST NE, SUITE 1500, MINNEAPOLIS, MN 55413-1741
(612) 746-4747
Mailing address
9832 ZINNIA LN N, MAPLE GROVE, MN 55369-7701
(763) 416-0505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9B074MI
BCBS
MN
Enumeration date
11/16/2006
Last updated
07/08/2007
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