Individual
LISA W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
221 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503-2543
(616) 391-2862
(616) 391-3787
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 391-2862
(616) 391-3787
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000200
MI
Other
Enumeration date
03/08/2007
Last updated
12/12/2012
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