Individual
DR. BRUCE KENNETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42557 WOODWARD AVE STE 210, BLOOMFIELD HILLS, MI 48304-5206
(248) 253-1608
(248) 253-1660
Mailing address
42557 WOODWARD AVE STE 130, BLOOMFIELD HILLS, MI 48304-5206
(248) 322-3088
(248) 322-4175
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301047312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-3468933
COMMERCIAL
MI
05
—
4696880-10
—
MI
01
—
700F37550
BCBSM
MI
01
—
B46985
HAP
MI
01
—
C5244
MCARE
MI
Enumeration date
04/14/2006
Last updated
03/03/2014
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