Individual
BRICE J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 637-5271
(269) 639-2818
Mailing address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 637-5271
(269) 639-2818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BM003086
STATE LICENSE #
MA
Enumeration date
11/07/2005
Last updated
11/27/2023
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