Individual
DR. MICHAEL T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 859-2954
(716) 859-2962
Mailing address
PO BOX 1368, WILLIAMSVILLE, NY 14231-1368
(716) 859-2954
(716) 859-2962
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
164583
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025553402
UNIVERA
—
01
—
00025553404
UNIVERA
—
01
—
000911511011
BLUE SHIELD WNY
—
01
—
000911511014
BLUE SHIELD WNY
—
05
—
01033590
—
NY
01
—
0141997
GHI
—
01
—
040426003057
FIDELIS
—
01
—
101121FF
PREFERRED CARE
—
01
—
16485378B
WORKERS COMPENSATION
NY
01
—
1693148
INDEPENDENT HEALTH
—
01
—
4195937
GHI
—
01
—
P00005726
RR MEDICARE
—
01
—
P010164583
BLUE CHOICE
—
01
—
P020164583
BLUE SHIELD OF ROCHESTER
—
Enumeration date
04/26/2006
Last updated
05/06/2008
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