Individual
CHARSIS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 EMMONS BLVD, LINCOLN PARK, MI 48146-4615
(313) 465-0845
Mailing address
608 EMMONS BLVD, LINCOLN PARK, MI 48146-4615
(313) 465-0845
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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