Individual
DR. MATTHEW STEVEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1226 OLIVE ST, SAINT LOUIS, MO 63103-2414
(217) 766-2771
Mailing address
1226 OLIVE ST, SAINT LOUIS, MO 63103-2414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101017353
MI
2086S0102X
Surgical Critical Care Physician
5101017353
MI
Other
Enumeration date
06/29/2007
Last updated
06/28/2019
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