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Individual
MICHAEL JOSEPH MILLER
Active
Individual
MICHAEL JOSEPH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05508
MD
363AM0700X
Medical Physician Assistant
C0005508
MD
363AS0400X
Surgical Physician Assistant
C0005508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0005508
PA-C LICENSE
MD
Enumeration date
09/08/2014
Last updated
04/29/2022
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