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Individual

DR. LYNN E MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3985
(906) 225-4562
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(906) 225-3985
(906) 225-4562

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301038818
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2587107
MI
01
260021002
RAILROAD MEDICARE
MI
Enumeration date
11/29/2005
Last updated
11/01/2007
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