Organization
MILLER VEIN - DEARBORN
Active
Parent organization
ADVANCED VEIN THERAPIES PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED VEIN THERAPIES PLLC
Authorized official
DR. JEFFREY H MILLER M.D. (OWNER)
(248) 344-9110
Entity
Organization
Contact information
Practice address
25500 MEADOWBROOK RD STE 105, NOVI, MI 48375-1878
(248) 344-9110
(248) 344-9111
Mailing address
32000 NORTHWESTERN HWY STE 215, FARMINGTON HILLS, MI 48334-1570
(248) 344-9110
(248) 344-9111
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
4301054286
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301054286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301054286
JEFFREY H MILLER MD LIC #
—
Enumeration date
11/07/2011
Last updated
11/05/2019
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