Individual
MICHAEL L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 827-2430
(757) 827-2432
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0102201681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010155029
—
VA
01
—
96553
OPTIMA
VA
01
—
P00291447
RAILROAD MEDICARE
VA
Enumeration date
06/30/2005
Last updated
09/22/2014
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