Individual
JUSTIN WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01065478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721077
ANTHEM
IN
01
—
9072700
AETNA
IN
Enumeration date
05/25/2008
Last updated
05/31/2016
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