Individual
DR. MILES AUSTIN TOMMERAASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PARK DR STE 400, CONCORD, NC 28025-0939
(704) 786-1108
(704) 782-1826
Mailing address
200 MEDICAL PARK DR STE 400, CONCORD, NC 28025-0939
(704) 786-1108
(704) 782-1826
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024-03145
NC
Other
Enumeration date
06/05/2018
Last updated
10/24/2024
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