Individual
MICHAEL D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 S 17TH ST, STE. 1410, PHILADELPHIA, PA 19103-6231
(215) 545-8450
Mailing address
255 S 17TH ST, STE. 1410, PHILADELPHIA, PA 19103-6231
(215) 545-8450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 039124-E
PA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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