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Individual

DR. MARVIN JAY MILLER

Active
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Individual

DR. MARVIN JAY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01024897A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000716275
ANTHEM
IN
05
200104350
IN
05
200931580A
IN
01
2191038
CIGNA
IN
01
7177448
AETNA
IN
01
D03211
MEDICARE RR
IN
Enumeration date
08/15/2005
Last updated
04/03/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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