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Individual

MICHAEL MILLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
621 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2712
(612) 522-2383
Mailing address
13908 52ND AVE N, PLYMOUTH, MN 55446-1631
(612) 386-6054

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115716
MN

Other

Enumeration date
12/22/2011
Last updated
12/22/2011
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