Individual
JEFFREY T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 48532-3638
(810) 342-4917
(810) 342-1335
Mailing address
401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 48532-3638
(810) 342-4917
(810) 342-1335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001913
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558330944
—
MI
01
—
970014489
TRAVELERS
MI
Enumeration date
03/16/2006
Last updated
10/30/2023
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