Individual
NICHOLAS P MILLER
Active
Individual
NICHOLAS P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01072515A
IN
2085R0202X
Diagnostic Radiology Physician
036.129482
IL
2085R0202X
Diagnostic Radiology Physician
125-054108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01072515A
MEDICAL LICENSE
IN
01
—
01072515B
CSR
IN
01
—
1194981712
NPI
—
Enumeration date
08/03/2008
Last updated
12/12/2023
Update your record
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