Individual
GLENN ALAN MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1160 MANHEIM PIKE STE 200, LANCASTER, PA 17601-3127
(717) 735-1972
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-16456
NC
363A00000X
Physician Assistant
Primary
MA052856
PA
363AS0400X
Surgical Physician Assistant
MA052856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032839690002
—
PA
Enumeration date
02/12/2007
Last updated
05/07/2026
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