Individual
JONI ELAINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N TILLOTSON AVE, MUNCIE, IN 47304-3987
(765) 288-8770
(765) 288-8775
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01057076A
IN
208000000X
Pediatrics Physician
01057076A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497370
—
IN
01
—
P01270952
RR MEDICARE
IN
Enumeration date
07/11/2005
Last updated
07/21/2022
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