Individual
DR. JEFFREY WAYNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
330 N WABASH AVE STE 370, MARION, IN 46952-2678
(765) 660-7500
(765) 662-4724
Mailing address
330 N WABASH AVE STE G-20, MARION, IN 46952-2605
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02001695
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000897778
ANTHEM
IN
05
—
200321850A
—
IN
Enumeration date
05/05/2006
Last updated
10/20/2020
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