Organization
RILEY MILLERS CONSTRUCTION LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY GLENN MILLER (OWNER)
(320) 304-1408
Entity
Organization
Contact information
Practice address
3725 PAWNEE DR SE, ALEXANDRIA, MN 56308-8971
(320) 304-1408
(320) 762-9148
Mailing address
3725 PAWNEE DR SE, ALEXANDRIA, MN 56308-8971
(320) 304-1408
(320) 762-9148
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
20638952
MN
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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