Individual
MARISSA ANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
133 W LANSING RD, POTTERVILLE, MI 48876-9601
(517) 645-0000
Mailing address
133 W LANSING RD, POTTERVILLE, MI 48876-9601
(517) 645-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017722
MI
Other
Enumeration date
06/19/2008
Last updated
12/14/2011
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