Individual
GLENN D. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 E NORTH AVE, PITTSBURGH, PA 15212-4740
(412) 359-5822
(412) 359-6620
Mailing address
490 E NORTH AVE, PITTSBURGH, PA 15212-4740
(412) 359-5822
(412) 359-6620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD044831L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012574570009
—
PA
05
—
2022831
—
OH
05
—
3005035000
—
WV
Enumeration date
07/21/2005
Last updated
01/10/2011
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