Individual
DR. ANDREW WADE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
515 UNION AVE, SUITE 147, DOVER, OH 44622-3004
(330) 339-6233
(330) 343-8460
Mailing address
515 UNION AVE, SUITE 147, DOVER, OH 44622-3004
(330) 339-6233
(330) 343-8460
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642537
—
OH
01
—
9378401
MEDICARE GROUP NUMBER
OH
01
—
P00662344
RAILROAD
OH
Enumeration date
09/21/2005
Last updated
05/12/2015
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