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Individual

MICHAEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
25937 RICHMOND HILL RD, CONIFER, CO 80433-6112

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0203769
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163W00000X
KAISER
Enumeration date
07/27/2018
Last updated
07/27/2018
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