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Individual

MRS. MARY KATHLEEN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
806 8TH STREET, SPRINGFIELD, SD 57062
(605) 369-2627
(605) 369-5627
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 369-2627
(605) 369-5627

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
204
NE
208000000X
Pediatrics Physician
Primary
4100
SD
208000000X
Pediatrics Physician
45262
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6701142
SD
Enumeration date
08/04/2005
Last updated
11/10/2011
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