Individual
MARTIN PETER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D., C.D.E.
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
86 MELISSA DR, WEST GARDINER, ME 04345-3237
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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