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JONATHAN M MILLER PHD LP

Clinical Neuropsychologist

Eagan, Minnesota

Provider NPI: 1992790117

Provider Information:
 JONATHAN M MILLER PHD LP
Gender: M
Sole Proprietor


Practice Location:
2113 CLIFF DR  EAGAN, MN 55122 US
Tel: 651-728-0922  Fax: --

Business Mailing Address:
2113 CLIFF DR  EAGAN, MN 55122 US
Tel: 651-728-0922  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MNLP4000

Other Provider Identifiers:

IssuerNumberStateType
228524000MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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