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Individual

DR. MICHAEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7355
(215) 349-8444
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7355
(215) 349-8444

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD476270
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0195551000
WV
05
034634200
DC
01
110084798
BLUE CROSS/BLUE SHIELD
MD
05
1235178559
DE
05
445391300
MD
05
5857350
VA
Enumeration date
06/05/2006
Last updated
02/02/2026
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