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Individual

DR. MICHAEL JOHN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD.

Contact information

Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2940 E. BANNER GATEWAY DR, SUITE 450, GILBERT, AZ 85234
(480) 286-6444
(480) 256-3682

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35055145
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
H8761
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0677441
OH
Enumeration date
09/20/2006
Last updated
05/29/2020
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