Individual
DR. MATTHEW WALTER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58122
(701) 234-2441
(701) 234-2606
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
11582
SD
207Y00000X
Otolaryngology Physician
Primary
13161
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81269
—
ND
Enumeration date
05/16/2007
Last updated
05/27/2022
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