Individual
TARA MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 636-4460
Mailing address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4518
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4704223862
MI
363L00000X
Nurse Practitioner
Primary
4704223862
MI
Other
Enumeration date
12/12/2023
Last updated
01/11/2024
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