Individual
MICHAEL GENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-2728
Mailing address
4135 GLACIER VALLEY AVE, KALAMAZOO, MI 49009-5015
(269) 388-8662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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