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Individual

DR. LYNN M MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
14525 HWY 7, SUITE 115,, MINNETONKA, MN 55345
(952) 746-5612
(952) 229-4153
Mailing address
4739 COUNTY ROAD 101, MINNETONKA, MN 55345-2634
(952) 933-2695
(952) 933-2763

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4012
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
325J4MI
BLUE CROSS BLUE SHEILD
MN
01
350001701
MEDICARE PROVIDER
MN
Enumeration date
12/28/2007
Last updated
11/14/2019
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