Individual
MICHAEL GLENN MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
515 28TH ST, #101, DES MOINES, IA 50312-5259
(515) 282-6067
Mailing address
515 28TH ST, #101, DES MOINES, IA 50312-5259
(515) 282-6067
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
316
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070078
—
IA
Enumeration date
01/18/2006
Last updated
07/08/2007
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