Individual
TODD MICHAEL MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-BC
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1554
MN
363L00000X
Nurse Practitioner
R1832947
MN
363LA2200X
Adult Health Nurse Practitioner
CP000776
SD
Other
Enumeration date
02/22/2013
Last updated
10/05/2020
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