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Individual

MICHAEL JOHN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5000
(319) 230-6746
Mailing address
6437 CORAL LAKE AVE, SAN DIEGO, CA 92119-2508

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D86555
MD
207VG0400X
Gynecology Physician
E-16578
AR
207VM0101X
Maternal & Fetal Medicine Physician
83084
WI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD-42776
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D86555
LICENSE
MD
Enumeration date
06/05/2014
Last updated
05/07/2025
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