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Individual

SHELLY ANN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25 JUNE STREET, SUITE 111, SANFORD, ME 04073
(207) 490-7968
(207) 490-7969
Mailing address
1 MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-7000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125051301
IL
207R00000X
Internal Medicine Physician
Primary
ME19807
ME

Other

Enumeration date
09/03/2008
Last updated
04/15/2014
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