IndividualActive
Michael Miracle, CONTRACTOR
NPI 1629856364 · Contractor · Minot, ND
Provider details
- NPI number
- 1629856364
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- CONTRACTOR
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000046096 (ND)
Specialties & taxonomies
Other Service Providers
Practice location
1812 7th St Sw
Minot, ND 58701-6409
Phone: (661) 236-6963
Approximate (ZIP-level) locationGet directions
Mailing address
1812 7th St Sw
Minot, ND 58701-6409
Registry dates
- Enumerated
- 2023-09-14
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.