Individual
MICHAEL GLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 802-5580
(360) 825-6536
Mailing address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 802-5580
(360) 825-6536
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301407172
MI
207X00000X
Orthopaedic Surgery Physician
Primary
MD 60287490
WA
Other
Enumeration date
09/30/2005
Last updated
11/05/2012
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