SearchNorth Dakota207ZP0105X

Timothy Miller

NPI 1568923605 · on the registry since 2019 · sole proprietor

Practice

Address
4840 23rd Ave S
Fargo, ND 58104
Phone
(701) 417-6999
Clinicians at this address
11

Registry record

Primary taxonomy
207ZP0105X
207ZP0105X
Also registered as
207ZP0102X
Licence states on file
WA, ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota