Individual
MR. DONALD W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
543 TAYLOR AVE FL 1, COLUMBUS, OH 43203-1278
(614) 293-2663
(614) 293-2053
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2663
(614) 293-2053
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.001389RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 23652
MEDICARE PTAN
OH
Enumeration date
01/25/2006
Last updated
03/23/2022
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