Individual
MICHAEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, AT
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 993-1740
(313) 993-1741
Mailing address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 993-1740
(313) 993-1741
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000578
MI
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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