Individual
JON L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8300
Mailing address
WSU FAMILY MEDICINE RESIDENCY, 2261 PHILADELPHIA DRIVE SUITE 300, DAYTON, OH 45406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226230
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/08/2021
Last updated
11/20/2025
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