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Individual

URSULA I MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1202 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-4571
Mailing address
1202 5TH GRANT BLVD, WABASHA, MN 55981
(651) 565-4571

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102831
MN

Other

Enumeration date
12/18/2006
Last updated
09/06/2007
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