Individual
MARCUS RICHARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 N MEADOWS DR, GROVE CITY, OH 43123-2546
(614) 864-6363
Mailing address
6075 E BROAD ST, COLUMBUS, OH 43213-5131
(614) 864-6363
(614) 864-2248
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35076919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212493
—
OH
Enumeration date
07/13/2005
Last updated
01/11/2024
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