Individual
MR. MICHAEL JOSEPH MILLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
Mailing address
1055 SEYBURN DR, BATON ROUGE, LA 70808-5558
(985) 519-6948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211439
LA
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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