Individual
MARTIN M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 BAYOU PINES DRIVE, LAKE CHARLES, LA 70601
(337) 433-5821
Mailing address
812 BAYOU PINES DRIVE, LAKE CHARLES, LA 70601
(337) 433-5821
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
13827
LA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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