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NPI Code Detail

MEDICARE: STEPHAN MILLER MD

MEDICARE: STEPHAN MILLER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician81868MN
2207R00000XInternal Medicine PhysicianMT223013PA
32085R0202XDiagnostic Radiology Physician4351050276MI

General Provider Information

NPI Number : 1811565633
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHAN MILLER MD
Provider Business Mailing Address
First Line : PO BOX 860912
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0912
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 06/05/2026

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Directions to “ STEPHAN MILLER MD” Practice Location

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