Individual
RONALD W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 WILEY BLVD SW, CEDAR RAPIDS, IA 52404-2364
(319) 396-1983
(319) 396-3183
Mailing address
2230 WILEY BLVD SW, CEDAR RAPIDS, IA 52404-2364
(319) 396-1983
(319) 396-3183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18745
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073429
—
IA
01
—
080094014
RR MEDICARE
IA
05
—
1508844739
—
IA
Enumeration date
01/06/2006
Last updated
05/22/2012
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