Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 34245 | MN |
N | 207RX0202X | Medical Oncology | 34245 | MN |
NPI | 1053497198 |
---|---|
Provider Name | Dr. Jeffrey S Miller |
First Address | Minneapolis, MN 55455-0341 |
Second Address | Minneapolis, MN 55455-0356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 26/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0058599 | (05) | MT |
0507764 | (05) | IA |
100800 | UCARE (01) | |
1009243 | PREFERRED ONE (01) | |
31841700 | (05) | WI |
36-00271 | MEDICA PRIMARY (01) | |
36-24570 | MEDICA CHOICE (01) | |
768266 | ARAZ (01) | |
8D667MI | BLUE CROSS BLUE SHIELD (01) | |
975007000 | (05) | MN |
E73354 | (02) | |
HP22080 | HEALTH PARTNERS (01) |