Individual
DR. ANDREW JACOB GERALD MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2441 N DIERS AVE, GRAND ISLAND, NE 68803-1240
(308) 384-4955
(308) 384-7088
Mailing address
2441 N DIERS AVE, GRAND ISLAND, NE 68803-1240
(308) 384-4955
(308) 384-7088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
02
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NE
Enumeration date
08/13/2020
Last updated
08/17/2020
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