Individual
DR. KEITH W. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 284-7738
(765) 213-3713
Mailing address
PO BOX 1643, MUNCIE, IN 47308-1643
(765) 284-7738
(765) 213-3713
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01030668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087011
ANTHEM PIN
IN
05
—
1000106460
—
IN
01
—
200018964
RAILROAD MEDICARE
IN
Enumeration date
08/01/2006
Last updated
01/22/2014
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