Individual
MICHAEL J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10095 INVESTMENT WAY, FLORENCE, KY 41042-4798
(859) 301-9070
(859) 301-9075
Mailing address
10095 INVESTMENT WAY, FLORENCE, KY 41042-4798
(859) 301-9070
(859) 301-9075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24910
KY
207Q00000X
Family Medicine Physician
35051327
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
24910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721133
—
OH
05
—
64249105
—
KY
Enumeration date
08/19/2005
Last updated
06/07/2023
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