Individual
JAMES R. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11141 PARKVIEW PLAZA DR, SUITE 305, FORT WAYNE, IN 46845-1713
(260) 266-8900
(260) 266-8935
Mailing address
1234 E DUPONT RD, STE 1, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-056245
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01770754
—
NY
Enumeration date
07/07/2006
Last updated
02/26/2021
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