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Individual

MS. MICHELLE MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5333 MCAULEY DR RM 1000, YPSILANTI, MI 48197-1024
(734) 712-7246
Mailing address
5333 MCAULEY DR RM 1000, YPSILANTI, MI 48197-1024
(734) 712-7246

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
PENDING
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704247013
REGISTERED NURSE LICENSE
MI
Enumeration date
02/20/2021
Last updated
07/15/2024
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