Individual
DONALD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-8063
(740) 387-7019
Mailing address
L-3549, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35038734M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323806
ANTHEM
OH
05
—
0363244
—
OH
01
—
0639661
PALMETTO MEDICARE
—
01
—
1600271
UHC
—
01
—
300029085
TRAVELERS MEDICARE
—
01
—
311098079
TAX ID
—
01
—
311098079014
CIGNA
—
01
—
31109807913
WORKERS COMP
OH
01
—
31109807913
WORKERS COMPENSATION
—
01
—
311098079249
MEDICAL MUTUAL
—
01
—
353077
SUBMITTER NO
—
01
—
643273
AETNA
—
Enumeration date
05/05/2006
Last updated
11/13/2012
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