Individual
PETER R MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 585-0234
(248) 585-0234
Mailing address
30781 STEPHENSON HWY, MADISON HTS, MI 48071-1618
(248) 583-8922
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301030094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F37770
BCBS
MI
05
—
3471788
—
MI
Enumeration date
06/24/2005
Last updated
07/08/2007
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