Individual
MR. JON E. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4907A DALBEY LANE, BERLIN, OH 44610
(330) 893-2941
(330) 893-3027
Mailing address
PO BOX 366, BERLIN, OH 44610-0366
(330) 893-2941
(330) 893-3027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2474095
—
OH
Enumeration date
11/17/2005
Last updated
04/30/2020
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