Individual
JOHN K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 E MILLTOWN RD, SUITE 105, WOOSTER, OH 44691
(330) 345-8060
(330) 345-5983
Mailing address
128 E MILLTOWN RD, SUITE 105, WOOSTER, OH 44691
(330) 345-8060
(330) 345-5983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35044809
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431447
—
OH
01
—
2123062
MEDICAID GROUP
—
01
—
9304461
MEDICARE GROUP
—
Enumeration date
10/03/2006
Last updated
05/02/2016
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