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Individual

DR. MITCHELL REED MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
70 MAIN ST, LUDLOW, VT 05149-1107
(802) 228-7000
(802) 228-8467
Mailing address
70 MAIN ST, LUDLOW, VT 05149-1107
(802) 228-7000
(802) 228-8467

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0009508
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OVN1649
VT
Enumeration date
07/26/2006
Last updated
07/08/2007
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