Individual
LISA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6200
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301078154
MI
208600000X
Surgery Physician
5905
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON GENERAL SURGERY
MI
05
—
1427065929
—
MI
05
—
46045455613
—
NE
05
—
7302110
—
SD
Enumeration date
08/01/2006
Last updated
11/27/2023
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