Individual
STEPHEN WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 SEWALL ST, SUITE 301, PORTLAND, ME 04102-2645
(207) 780-6631
(207) 780-6320
Mailing address
17 HIDDEN CREEK DR, SCARBOROUGH, ME 04074-8451
(207) 885-5807
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-042
ME
Other
Enumeration date
03/20/2007
Last updated
05/10/2010
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