Individual
JOHN P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 55109-1183
(651) 779-9322
(651) 779-9325
Mailing address
1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 55109-1183
(651) 779-9322
(651) 779-9325
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45581
MN
207RP1001X
Pulmonary Disease Physician
Primary
45581
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500040800
—
MN
Enumeration date
05/22/2006
Last updated
11/29/2023
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