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Individual

DR. GARY A MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
3106 TREMAINSVILLE RD, TOLEDO, OH 43613
(419) 474-7700
(419) 474-0896
Mailing address
PO BOX 167875, OREGON, OH 43616-7875
(419) 474-7700
(419) 474-0896

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
36.002438
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002438
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0730267
OH
Enumeration date
12/20/2005
Last updated
06/06/2019
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