Most Relevant Information
Provider Data
| NPI Number: | 1003482647 |
| Provider Name: | MARY ELIZABETH MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 2637-29 |
Most Important Dates
| Enumeration Date: | 06/03/2021 |
| Last Updated: | 06/03/2021 |
Provider Practice Location
927 CHURCHILL ST W
STILLWATER
MN
550826605
Practice Location Phone/Fax
| Phone: | 6514308715 |
| Fax: | 6514308716 |
Provider Mailing Location
927 CHURCHILL ST W
STILLWATER
MN
550826605
Provider Mailing Phone/Fax
| Phone: | 6514308715 |
| Fax: | 6514308716 |