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Individual
MICAH ADAM MILLER
Active
Individual
MICAH ADAM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4383
SC
363AM0700X
Medical Physician Assistant
5601008198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027313
KAISER COMMERCIAL NUMBER
CO
Enumeration date
07/27/2012
Last updated
08/05/2025
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