Individual
MICHELLE LEIGH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1150 E SHERMAN BLVD STE 1175, MUSKEGON, MI 49444-1885
(231) 672-6740
(231) 672-6787
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(231) 672-2119
(313) 432-7759
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704197487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184601841
—
MI
01
—
N33890
MEDICARE GROUP PTAN
MI
Enumeration date
12/23/2005
Last updated
01/06/2023
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