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NPI Code Detail

MEDICARE: DR. MARK R MIGLIORI MD

MEDICARE:  DR. MARK R MIGLIORI  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
1261Q00000XClinic/Center35467MN
22086S0122XPlastic and Reconstructive Surgery Physician35467MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942228168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK R MIGLIORI MD
Provider Business Mailing Address
First Line : 7450 FRANCE AVE S STE 220
Second Line :
City : EDINA
State : MN
Zip : 55435-4792
Country : US
Telephone Number : 952-925-1111
Fax Number : 952-922-3446
Provider Business Practice Location Address
First Line : 7450 FRANCE AVE S STE 220
Second Line :
City : EDINA
State : MN
Zip : 55435-4792
Country : US
Telephone Number : 952-925-1111
Fax Number : 952-942-3446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 11/16/2023

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Directions to “ DR. MARK R MIGLIORI MD” Practice Location

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