Individual
RUSSELL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
50505 SCHOENHERR RD, STE. 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
Mailing address
50505 SCHOENHERR RD, STE. 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704281165
MI
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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