Individual
DR. GREGORY LANCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E PARIS AVE SE, STE 200, GRAND RAPIDS, MI 49546-3691
(616) 949-8554
(616) 949-6557
Mailing address
1000 E PARIS AVE SE, STE 200, GRAND RAPIDS, MI 49546-3691
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301064982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103155189
—
MI
Enumeration date
09/16/2005
Last updated
12/15/2021
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