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Individual
DR. MICHAEL JAY MILLER
Active
Individual
DR. MICHAEL JAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G3612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84E422
BLUE SHIELD
TX
Enumeration date
03/30/2006
Last updated
03/24/2020
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