Individual
MARTHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13099 ALLEN RD BLDG 3, SOUTHGATE, MI 48195-3099
(734) 626-4191
Mailing address
13099 ALLEN RD BLDG 3, SOUTHGATE, MI 48195-3099
(734) 626-4191
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/21/2021
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