Individual
KENNETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 OWEN RD, FENTON, MI 48430-9193
(810) 750-3735
Mailing address
3700 OWEN RD, FENTON, MI 48430-9193
(810) 750-3735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024040
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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