Individual
MARTHA J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
5910 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6508
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35-047095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028240
ANTHEM
OH
01
—
000000221300
UNISON
OH
01
—
000000526107
ANTHEM
OH
05
—
0545502
—
OH
Enumeration date
07/20/2006
Last updated
11/14/2007
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