Individual
MICHELLE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103-2105
(619) 294-8111
Mailing address
6720 BUCKHORN DR APT 827, INDIANAPOLIS, IN 46254-5276
(812) 343-7938
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
17223
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
07/16/2024
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