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Individual

DR. CHARLES DALE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 753-7488
(513) 753-7879
Mailing address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 753-7488
(513) 753-7879

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35056153
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000187462
ANTHEM
OH
05
0684951
OH
01
0901483
UNITED HEALTHCARE
OH
01
1874257002
CIGNA
OH
01
200016209
MEDICARE RAILROAD
OH
Enumeration date
07/14/2005
Last updated
12/20/2013
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