Provider Demographics
NPI:1922291517
Name:MILLER, MARGARET (LAC, MAOM)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LAC, MAOM
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC, MAOM
Mailing Address - Street 1:4105 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3112
Mailing Address - Country:US
Mailing Address - Phone:612-877-1583
Mailing Address - Fax:
Practice Address - Street 1:800 E. 28TH ST
Practice Address - Street 2:ALLINA HOSPITALS AND CLINIC -- IHH
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3799
Practice Address - Country:US
Practice Address - Phone:612-863-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1222171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist