Individual
DR. MATHEW TODD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6046 WHIPPLE AVE NW # G100, NORTH CANTON, OH 44720-7616
(330) 588-8900
(330) 588-8990
Mailing address
400 MEDICAL PARK DR, SUITE 203, DOVER, OH 44622-3207
(330) 602-7702
(330) 602-4509
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35084095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35084095
OHIO STATE LICENSE NUMBER
OH
Enumeration date
05/10/2006
Last updated
04/29/2020
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