Miller, Gary Stuart

Miller, Gary Stuart is an individual health care provider with primary practice located at 2301 25Th St S , Fargo ND 58103-6104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Miller, Gary Stuart can be contacted via phone (701) 234-7400.

Contact Information

Primary practice address
2301 25Th St S Fargo ND 58103-6104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40290 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME143961 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01090776A Indiana

Profile Details

NPI number 1558488197
LBN Legal business name Miller, Gary Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jan 2nd, 2024 - about 10 months 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 1558488197 NPPES
South Carolina MEDICAID PENDING
South Carolina MEDICAID 0306967

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