Individual
MICHAEL D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8075 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2693
(317) 621-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01059047
IN
207L00000X
Anesthesiology Physician
Primary
01059047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200519400
—
IN
Enumeration date
07/13/2006
Last updated
12/17/2024
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