Michael Patrick Miller, RD | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-3393 | |
Not Available |
Full Name | Michael Patrick Miller |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 5 Years |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912552076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 4205 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Provider Name | Park Nicollet Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Michael Patrick Miller, RD 9905 54th Pl N Apt 8, Plymouth, MN 55442-1992 Ph: (651) 328-9569 | Michael Patrick Miller, RD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3393 |
Kaitlyn Rose Pscodna, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 3525 Monterey Dr, St Louis Park, MN 55416 Phone: 419-789-6371 | |
Arlene M Monk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666 | |
Diane M Reader, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-7169 Fax: 952-993-0300 | |
Britta L Mattison, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3435 | |
Jacquelyn Warner, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 3525 Monterey Dr, St Louis Park, MN 55416 Phone: 952-993-6200 | |
Colleen Fischer, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393 | |
Lindsey Smith, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393 |