Individual
MARTIN W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
206 N GRIMMELL ROAD, JEFFERSON, IA 50129
(515) 386-2515
(515) 386-4286
Mailing address
206 N GRIMMELL ROAD, JEFFERSON, IA 50129
(515) 386-2515
(515) 386-4286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05386
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123117
—
IA
01
—
57983
BCBS
IA
Enumeration date
12/06/2006
Last updated
07/08/2007
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