Individual
DR. WAYNE STARR MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7735 E MANITOU TRL-92, ROANOKE, IN 46783-9203
(260) 672-3592
Mailing address
7735 E MANITOU TRL-92 # 92, ROANOKE, IN 46783-9203
(260) 672-3592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01018090
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01018090
LICENSE NUMBER
IN
Enumeration date
04/14/2007
Last updated
09/24/2013
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