Individual
JERAD P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 JUNGERMANN CIR STE 405, SAINT PETERS, MO 63376-1637
(636) 916-7100
(636) 916-7110
Mailing address
70 JUNGERMANN CIR STE 405, SAINT PETERS, MO 63376-1637
(636) 916-7100
(636) 916-7110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008004273
MO
208600000X
Surgery Physician
35083353
OH
Other
Enumeration date
06/12/2006
Last updated
06/23/2026
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