Individual
ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
124 E PRAIRIE ST, VICKSBURG, MI 49097-1257
(269) 649-0103
(269) 649-4762
Mailing address
124 E PRAIRIE ST, VICKSBURG, MI 49097-1257
(269) 649-0103
(269) 649-4762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004917
MI
Other
Enumeration date
07/17/2015
Last updated
03/07/2022
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