Individual
JOHN B MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1973 SLOAN PL, #225, MAPLEWOOD, MN 55117-2084
(651) 224-1347
(651) 776-0932
Mailing address
1973 SLOAN PL, #225, MAPLEWOOD, MN 55117-2084
(651) 224-1347
(651) 776-0932
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26629
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30766100
—
WI
Enumeration date
06/15/2006
Last updated
07/08/2007
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