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Individual

GLENN PATTERSON MILLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7661 NW 107TH AVE APT 612, DORAL, FL 33178-4626
(754) 779-4701
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 585-1178
(305) 326-7065

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
225758
MA
208600000X
Surgery Physician
Primary
ME116675
FL

Other

Enumeration date
01/02/2008
Last updated
02/09/2022
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