Individual provider · NPI-1

Dr. Matthew Walter Miller, M.D.

Otolaryngology · Fargo, ND

NPI number1942416714
StatusActive
Last updated in NPPESMay 27, 2022

Details

NPI
1942416714
Entity type
Individual (NPI-1)
Name
Dr. Matthew Walter Miller
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2007
Certification date
May 27, 2022
Last updated
May 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology13161NDYes
207Y00000X Otolaryngology11582SD

Practice location

801 Broadway N
Fargo, ND 58122

Phone 701-234-2441 · Fax 701-234-2606

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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