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Individual

MR. JAMES C MILLER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
32925 GROESBECK HIGHWAY, FRASER, MI 48026
(586) 293-8888
(586) 296-0726
Mailing address
32925 GROESBECK HIGHWAY, FRASER, MI 48026
(586) 293-8888
(586) 296-0726

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003024
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110955
EYE MED
05
3404800
MI
01
900E06513
BCBS
Enumeration date
04/10/2007
Last updated
07/08/2007
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