Individual
DR. JOHN D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
26750 PROVIDENCE PKWY, SUITE 130, NOVI, MI 48374-1211
(248) 348-5300
(248) 348-5410
Mailing address
26750 PROVIDENCE PKWY, SUITE 130, NOVI, MI 48374-1211
(248) 348-5300
(248) 348-5410
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
JM002024
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
JM002024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136049
CARE CHOICES
MI
01
—
14629
MCARE
MI
05
—
4454647
—
MI
01
—
480F372470
BLUE CROSS BLUE SHIELD
MI
01
—
75232394
AETNA
MI
01
—
U85106
HAP
MI
Enumeration date
12/19/2005
Last updated
05/03/2011
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