Individual
MR. STEVEN THOMAS MILLER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16147 MEYERS RD, DETROIT, MI 48235-4108
(313) 345-9950
(313) 345-9952
Mailing address
16147 MEYERS RD, DETROIT, MI 48235-4108
(313) 345-9950
(313) 345-9952
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049062
—
MI
Enumeration date
11/08/2010
Last updated
04/22/2014
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