Individual
JASON MATTHEW LEWIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301117181
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
4301117181
MI
Other
Enumeration date
04/24/2012
Last updated
04/08/2024
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