Organization
MICHAEL S. MILLER DO, FACOS, CWS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SETH MILLER DO (OWNER)
(317) 429-0061
Entity
Organization
Contact information
Practice address
3850 SHORE DR STE 315, INDIANAPOLIS, IN 46254-4693
(317) 429-0061
(317) 222-1953
Mailing address
3850 SHORE DR STE 315, INDIANAPOLIS, IN 46254-4693
(317) 491-0061
(317) 222-1953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02001905
IN
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200044490A
—
IN
Enumeration date
02/22/2007
Last updated
03/05/2023
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