Individual
JEFFREY S. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
Mailing address
PO BOX 1309, 8170 33RD AVE S MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 439-1234
(651) 275-3325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56241
WI
Other
Enumeration date
08/09/2005
Last updated
06/25/2019
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