Individual
DR. MICHAEL M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1114 E WEISGARBER RD, STE A, KNOXVILLE, TN 37909-2648
(865) 588-1833
(865) 588-8057
Mailing address
7205 ROTHERWOOD DR, KNOXVILLE, TN 37919-7415
(865) 588-8508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000010997
TN
207K00000X
Allergy & Immunology Physician
Primary
MD10997
TN
207KA0200X
Allergy Physician
MD10997
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011924
PHP TENNCARE
TN
01
—
11377084
CAQH
TN
01
—
2007597
BLUE CARE
TN
05
—
31655207
—
TN
Enumeration date
04/26/2006
Last updated
06/08/2018
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