Individual
MR. TIMOTHY MICHAEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LICDC-S
Contact information
Practice address
1441 PHALE D. HALE DR., COLUMBUS, OH 43203
(614) 257-3754
Mailing address
11122 GORSUCH RD, GALENA, OH 43021-9633
(419) 203-9314
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
001104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101010101
1010101
—
01
—
NONE
—
—
Enumeration date
03/20/2020
Last updated
07/21/2022
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