Individual
DR. MARY EVELYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10085 BUCHANAN RD, CANADIAN LAKES, MI 49346-9762
(231) 972-3937
(231) 972-1212
Mailing address
10085 BUCHANAN RD, CANADIAN LAKES, MI 49346-9762
(231) 972-3937
(231) 972-1212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004486
MI
Other
Enumeration date
07/25/2008
Last updated
09/17/2013
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