Lundeen, Max Joseph Miller

Lundeen, Max Joseph Miller is an individual health care provider with primary practice located at 3400 W 66Th St Suite 350, Edina MN 55435-2111. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lundeen, Max Joseph Miller can be contacted via phone (952) 832-0805.

Contact Information

Primary practice address
3400 W 66Th St Suite 350 Edina MN 55435-2111
Phone: (952) 832-0805
Fax: (952) 832-5597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10585 Minnesota

Profile Details

NPI number 1144457581
LBN Legal business name Lundeen, Max Joseph Miller
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Sep 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144457581 NPPES
Minnesota Other 10585 LICENSE

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