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Individual

DR. WAYNE STARR MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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