Individual
MICHAEL JOHN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
611 WISTAR RD, FAIRLESS HILLS, PA 19030-4105
(484) 437-4003
Mailing address
1133 NESHAMINY VALLEY DR, BENSALEM, PA 19020-1222
(484) 437-4003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000476
PA
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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