Individual
DEVON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1111 HAYES AVE, SANDUSKY, OH 44870
(419) 557-7455
Mailing address
419 E. PERKINS AVENUE, SANDUSKY, OH 44870-4901
(419) 557-7455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
340625
LA
363AM0700X
Medical Physician Assistant
Primary
50.009195RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096761
—
OH
Enumeration date
01/15/2024
Last updated
02/18/2025
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