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Individual

DR. MILES ROSS NEUMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
29201 TELEGRAPH RD STE 500, SOUTHFIELD, MI 48034-7648
(248) 569-5985
Mailing address
29201 TELEGRAPH RD STE 500, SOUTHFIELD, MI 48034-7648
(248) 569-5985

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
5101022208
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
5101026170
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5101022208
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
01
5101026170
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
04/25/2016
Last updated
06/08/2021
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