Miller, Roger Kevin

Miller, Roger Kevin is an individual health care provider with primary practice located at 1001 E Superior St Ste L201, Duluth MN 55802-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Miller, Roger Kevin can be contacted via phone (218) 249-7980.

Contact Information

Primary practice address
1001 E Superior St Ste L201 Duluth MN 55802-2207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35066 Minnesota

Profile Details

NPI number 1538119060
LBN Legal business name Miller, Roger Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 27th, 2012 - about 14 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 1538119060 NPPES
Minnesota MEDICAID 128592100

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