NPI 1629856364

Michael Edward Miracle, CONTRACTOR

Practitioner Contractor Minot, ND

Practice location

Address: 1812 7th St SW, Minot, ND 58701-6409
Phone: (661) 236-6963

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 000046096 (ND)

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Registry record

NPI: 1629856364
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2023
Record last updated: 14 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.