Individual
DR. MARK R MIGLIORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7450 FRANCE AVE S STE 220, EDINA, MN 55435-4792
(952) 925-1111
(952) 942-3446
Mailing address
7450 FRANCE AVE S STE 220, EDINA, MN 55435-4792
(952) 925-1111
(952) 922-3446
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35467
MN
261Q00000X
Clinic/Center
35467
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097217700
—
MN
Enumeration date
07/17/2006
Last updated
11/16/2023
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