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Individual

BERRY L MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
306 E MAUMEE ST STE 201, ANGOLA, IN 46703-2035
(260) 667-2700
(260) 667-2611
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033589A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100225690
IN
Enumeration date
01/25/2006
Last updated
11/15/2022
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