Organization
SHANNA C MILLER, DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNA COLLEEN MILLER DC (OWNER/ CHIROPRACTOR)
(763) 754-1482
Entity
Organization
Contact information
Practice address
11417 HANSON BLVD NW, ST 101, COON RAPIDS, MN 55433-3993
(763) 754-1482
(763) 754-6116
Mailing address
11417 HANSON BLVD NW, COON RAPIDS, MN 55433-3992
(763) 754-1482
(763) 754-6116
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5585
MN
Other
Enumeration date
03/21/2012
Last updated
04/19/2017
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