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Individual

HAROLD W MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 W 53RD ST, DAVENPORT, IA 52806-2251
(563) 386-3240
(563) 386-3211
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19332
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
034791
HEALTH ALLIANCE
01
19971
IOWA HEALTH SOLUTIONS
01
40199
WELLMARK BC/BS
05
4143651
IA
01
4796890009
DMERC
01
IA0146
JOHN DEERE HEALTH PLAN
Enumeration date
06/23/2005
Last updated
07/09/2007
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