Cory J. Miller
Ophthalmology Physician in Faribault, MN(View on Map)
Full Name
Cory Jay Miller
NPI Number
1114451259
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/15/2017
Specialties
(Taxonomies)Code
207W00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Minnesota
License Number
69264
Contact
Information
Purpose
Mailing
Location
Address
1575 20TH ST NW STE 101
1575 20TH ST NW STE 101
City
Faribault
Faribault
State
MN
MN
Postal Code
55021-2931
55021-2931
Country
US
US
Telephone Number
(507) 209-6214
(507) 332-9900
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/28/2021