Mia Miller, | |
550 W Burnsville Pkwy Ste 201, Burnsville, MN 55337-2504 | |
(605) 274-0217 | |
Not Available |
Full Name | Mia Miller |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 550 W Burnsville Pkwy Ste 201, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598151474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 67267 (Minnesota) | Secondary |
208600000X | Surgery | 67267 (Minnesota) | Primary |
Entity Name | Physicians Vein Clinics Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720370133 PECOS PAC ID: 9638356876 Enrollment ID: O20191016000206 |
Mailing Address | Practice Location Address |
---|---|
Mia Miller, 3401 S Kelley Ave, Sioux Falls, SD 57106-6300 Ph: (605) 941-7079 | Mia Miller, 550 W Burnsville Pkwy Ste 201, Burnsville, MN 55337-2504 Ph: (605) 274-0217 |
Salma Shaker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 14101 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-3282 | |
Lizbeth Lynne Thomas, DO Surgery Medicare: Medicare Enrolled Practice Location: 303 E Nicollet Blvd, Suite 300, Burnsville, MN 55337 Phone: 952-435-4140 Fax: 952-435-4189 | |
Dr. Elizabeth Gross Gavin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 W Burnsville Pkwy Ste 201, Burnsville, MN 55337 Phone: 763-299-8346 Fax: 605-275-6398 | |
Casey Yang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 Phone: 612-937-5762 | |
Douglas F. Bailey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Suite 300, Burnsville, MN 55337 Phone: 952-435-4140 Fax: 952-435-4189 | |
Nancy L. Guttormson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Suite 300, Burnsville, MN 55337 Phone: 952-435-4140 Fax: 952-435-4189 |