Individual
MICHAEL PATRICK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3393
Mailing address
9905 54TH PL N APT 8, PLYMOUTH, MN 55442-1992
(651) 328-9569
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4205
MN
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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