Individual
KATHERINE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-2200
Mailing address
3630 W 148TH ST, CLEVELAND, OH 44111-3135
(216) 408-3614
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
57.251208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063094571
—
OH
Enumeration date
04/23/2021
Last updated
09/14/2021
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