Individual
TIMOTHY J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 42456, CINCINNATI, OH 45242-0456
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35064042M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154390
—
OH
05
—
64952518
—
KY
Enumeration date
08/02/2005
Last updated
02/20/2008
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