Male or Other

Joshua D. Miller PA-C

Physician Assistant in Elk River, MN(View on Map)

Full Name

Joshua David Miller PA-C

NPI Number

1104259456

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/09/2013

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota
Wisconsin

License Number

11404
3207-23

Contact
Information

Purpose

Mailing
Location

Address

1700 UNIVERSITY AVE W FL 6
290 MAIN ST NW STE 100

City

Saint Paul
Elk River

State

MN
MN

Postal Code

55104-3727
55330-1251

Country

US
US

Telephone Number

N/A
(763) 241-5800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/24/2024

Provider Address

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