Individual
DR. STACEY LYNNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
44250 GARFIELD RD, STE 160, CLINTON TOWNSHIP, MI 48038-1150
(586) 228-2255
(586) 228-2740
Mailing address
44250 GARFIELD RD, STE 160, CLINTON TOWNSHIP, MI 48038-1150
(586) 228-2255
(586) 228-2740
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SM001761
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10113130003
WELLNESS
MI
01
—
104531
GREAT LAKES HEALTH PLAN
MI
01
—
126745
PREFERRED/CARE CHOICES
MI
01
—
17303
MCARE
MI
01
—
4616763
MOLINA
MI
05
—
4616763
—
MI
01
—
4855050800
BLUE CROSS BLUE SHIELD MI
MI
01
—
7538001
AETNA
MI
01
—
9102424001
CIGNA
MI
01
—
P00140080
RAILROAD MEDICARE
MI
01
—
U71952
HEALTH ALLIANCE PLAN
MI
Enumeration date
06/17/2005
Last updated
10/22/2012
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