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Individual

SAMUEL K. MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
543 N SHIPLEY ST, SUITE A, SEAFORD, DE 19973-2339
(302) 629-8662
(302) 629-7661
Mailing address
543 N SHIPLEY ST, SUITE A, SEAFORD, DE 19973-2339
(302) 629-8662
(302) 629-7661

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C1-0005891
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001098601
DE
Enumeration date
11/14/2006
Last updated
11/14/2007
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