Individual
DR. JOHN MARK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429
(937) 395-8166
(937) 395-8347
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021-02402
NC
207P00000X
Emergency Medicine Physician
34.013250
OH
390200000X
Student in an Organized Health Care Education/Training Program
34.013250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34.013250
OHIO STATE MEDICAL BOARD
OH
Enumeration date
05/23/2016
Last updated
01/26/2023
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