Individual
TODD R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
612 10TH ST, PERRY, IA 50220
(515) 465-5688
(515) 465-5634
Mailing address
612 10TH ST, PERRY, IA 50220
(515) 465-5688
(515) 465-5634
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00643
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137760
—
IA
Enumeration date
07/17/2006
Last updated
08/19/2011
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