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Individual

DR. JOHN S MILES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
685 E MAIN ST, PERU, IN 46970-2637
(765) 472-4930
(765) 472-4330
Mailing address
685 E MAIN ST, PERU, IN 46970-2637
(765) 472-4930
(765) 472-4330

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000378A
IN
213EP1101X
Primary Podiatric Medicine Podiatrist
07000378A
IN
213ES0131X
Foot Surgery Podiatrist
07000378A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000174145
ANTHEM
IN
Enumeration date
05/24/2005
Last updated
09/11/2025
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