| NPI | 1225703705 |
|---|---|
| Doing Business As | MILES MED MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | LISA ANN MILES Nurse Practitioner 612-708-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-09-15 |