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Individual

TRICIA R MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
437 NORTH 120TH AVE, HOLLAND, MI 49424
(616) 738-0737
Mailing address
437 NORTH 120TH AVE, HOLLAND, MI 49424
(616) 738-0737

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301074445
MI
208000000X
Pediatrics Physician
Primary
4301074445
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4529541
MI
Enumeration date
08/23/2006
Last updated
09/11/2025
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