Individual
DR. ALBAN INGRAM MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1708 FOXBOROUGH CT, CHAMPAIGN, IL 61822-8503
(217) 369-9395
(217) 369-9395
Mailing address
1708 FOXBOROUGH CT, CHAMPAIGN, IL 61822-8503
(217) 369-9395
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036.079126
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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