Individual
DR. MILES W TRUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PLLC
Contact information
Practice address
1420 PLAZA DR, STE 1A, PETOKSEY, MI 49770
(231) 487-3937
(231) 487-3939
Mailing address
1420 PLAZA DR, STE 1A, PETOSKEY, MI 49770
(231) 487-3937
(231) 487-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MT030207
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180034077
PALMETTOGBA
MI
01
—
180B410190
BLUE SHIELD
—
05
—
3481120
—
MI
01
—
P54436
BCN
—
Enumeration date
04/27/2006
Last updated
07/25/2008
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