Organization
TICKORTREAT MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL DANIEL MILLER MD (PRESIDENT)
(802) 380-2501
Entity
Organization
Contact information
Practice address
1600 PEAKED MOUNTAIN RD, TOWNSHEND, VT 05353-8810
(802) 380-2501
Mailing address
PO BOX 344, TOWNSHEND, VT 05353-0344
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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