Individual
IAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401
(207) 973-4159
Mailing address
141 N MAIN ST STE 205, BREWER, ME 04412-2055
(207) 992-4032
(207) 992-4034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AA093022
ME
Other
Enumeration date
07/09/2009
Last updated
05/07/2013
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