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Individual

WILLIAM M MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
1213 GARFIELD AVE, HARLAN, IA 51537-2057
(712) 755-4349
(712) 755-4290
Mailing address
1213 GARFIELD AVE, HARLAN, IA 51537-2057
(712) 755-5161
(712) 755-4312

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
038240
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2234534
IA
Enumeration date
08/28/2006
Last updated
08/14/2007
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