Individual
JANIS MIRIAM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR 9TH FLOOR RECEPTION B, 8TH FLOOR MEDICAL SUBSPECIALTY CLINIC, ANN ARBOR, MI 48109-4254
(734) 763-4109
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704180662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4327608
—
MI
Enumeration date
03/21/2007
Last updated
08/09/2013
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