Individual
RICHARD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
39 N BIRCH ST, LANSE, MI 49946-1548
(906) 525-2667
Mailing address
4559 MOOSE CREEK AVE, NORTH POLE, AK 99705-6921
(907) 488-1692
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AK 434
AK
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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