Organization
BRUCE D. MILLER D.O.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE DAVID MILLER D.O.P.C. (PRESIDENT)
(586) 466-5273
Entity
Organization
Contact information
Practice address
26755 BALLARD RD., HARRISON TWP., MI 48045-2458
(586) 466-5273
(586) 466-5393
Mailing address
PO BOX 46027, MOUNT CLEMENS, MI 48046-6027
(586) 466-5273
(586) 466-5393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101005712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016210
—
MI
Enumeration date
07/13/2006
Last updated
11/14/2007
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