Individual
THOMAS W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 101, FORT WAYNE, IN 46845-1707
(260) 422-7455
(260) 422-4125
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01041491A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374260
ANTHEM
IN
01
—
02341
AETNA
—
05
—
100077390
—
IN
01
—
18571
PHYSICIANS HEALTH PLAN
IN
01
—
P00288189
RAILROAD MEDICARE
IN
Enumeration date
12/27/2005
Last updated
03/03/2023
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