Individual
MR. VINCENT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
(269) 382-7078
Mailing address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
(269) 382-7078
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
M-00079
MI
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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