Individual
MELISSA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9429
(810) 262-9104
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9429
(810) 262-9104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBS GROUP NUMBER
MI
Enumeration date
10/28/2010
Last updated
09/30/2016
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