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Individual
JUSTIN MICHAEL MILLER
Active
Individual
JUSTIN MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01677
NC
363AS0400X
Surgical Physician Assistant
Primary
5601006970
MI
Other
Enumeration date
02/05/2009
Last updated
05/16/2014
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