Miller, Melissa Rose

Miller, Melissa Rose is an individual health care provider with primary practice located at 1000 E 1St St Suite Ll, Duluth MN 55805-2297. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Miller, Melissa Rose can be contacted via phone (218) 722-5629.

Contact Information

Primary practice address
1000 E 1St St Suite Ll Duluth MN 55805-2297
Phone: (218) 722-5629
Fax: (218) 722-5148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 45865 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 45865 Minnesota

Profile Details

NPI number 1235108366
LBN Legal business name Miller, Melissa Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 6th, 2017 - about 7 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 1235108366 NPPES
Other 1035227 PREFFERRED ONE
Other 0703528 PREFFERRED ONE
Other 171885 PREFFERRED ONE
MEDICAID 0884324000 PREFFERRED ONE
MEDICAID 34426900 PREFFERRED ONE
Other 104K8ST PREFFERRED ONE
Other A015 PREFFERRED ONE
Other HP39516 PREFFERRED ONE

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