Robert P Miller
Obstetrics & Gynecology in Bloomington, MN. Individual provider (NPI-1).
NPI number1790762813
StatusActive
Last updated in NPPESMar 5, 2012
Details
- NPI
- 1790762813
- Entity type
- Individual (NPI-1)
- Name
- Robert P Miller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Mar 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 20485 | MN | Yes |
Practice location
5320 Hyland Greens DrBloomington, MN 55437-3934
Phone 952-993-2460
Mailing address
3800 Park Nicollet BlvdCredentialing
St Louis Park, MN 55416-2527
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