Individual
DR. MINDY NICOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2645 N ILLINOIS ST, SWANSEA, IL 62226-2302
(618) 767-5100
(618) 767-5101
Mailing address
15933 CLAYTON RD STE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010722
IL
Other
Enumeration date
08/08/2013
Last updated
08/11/2016
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