Individual
DR. MICHAEL E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4199 GATEWAY BLVD, DEPT. OF ANESTHESIOLOGY, NEWBURGH, IN 47630-8940
(812) 842-4304
Mailing address
PO BOX 637275, CINCINNATI, OH 45263-0001
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02001360A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228766
ANTHEM
IN
05
—
200038850
—
IN
05
—
64878887
—
KY
01
—
P00006786
RAILROAD MEDICARE
—
Enumeration date
03/18/2006
Last updated
12/31/2020
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