Individual
DR. DUSTIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1455 FARR RD, NORTON SHORES, MI 49444-9738
(231) 737-0411
(231) 739-8502
Mailing address
1455 FARR RD, NORTON SHORES, MI 49444-9738
(231) 638-7319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301105821
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225440274
—
MI
Enumeration date
05/27/2014
Last updated
06/16/2018
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