Individual
DAVID JOHN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(190) 638-7411
Mailing address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(190) 638-7411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301095227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301095227
STATE LICENSE NUMBER
MI
Enumeration date
07/22/2009
Last updated
07/25/2013
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