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Individual

JASON P MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN, DETROIT, MI 48201-2119
(313) 745-5260
(313) 966-0665
Mailing address
UNIVERSITY PEDIATRICIANS, 4201 ST. ANTOINE - UHC 5D MAILBOX 226, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301116121
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
4301116121
MI

Other

Enumeration date
06/04/2015
Last updated
12/13/2018
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