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Individual

MR. BRIAN G MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T., O.C.S.

Contact information

Practice address
712 CHIPPEWA SQ, SUITE 101, MARQUETTE, MI 49855-4827
(906) 225-9846
(906) 225-9848
Mailing address
712 CHIPPEWA SQ, SUITE 101, MARQUETTE, MI 49855-4827
(906) 225-9846
(906) 225-9848

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501004717
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0M90730
PTAN
MI
05
104381658
MI
Enumeration date
11/04/2005
Last updated
03/03/2015
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