Individual
MR. THOMAS PAUL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4563
(765) 674-3321
(765) 677-5167
Mailing address
1700 E 38 ST, MARION, IN 46953-4563
(765) 674-3321
(765) 677-5167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027833A
IN
207Q00000X
Family Medicine Physician
44058
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34198300
—
WI
Enumeration date
04/03/2006
Last updated
08/04/2014
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