Individual
STEPHAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 ST. ANTOINE, UHC-9C, DETROIT, MI 48201
(313) 745-5146
Mailing address
4201 ST. ANTOINE, UHC-9C, DETROIT, MI 48201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT223013
PA
2085R0202X
Diagnostic Radiology Physician
Primary
4351050276
MI
Other
Enumeration date
06/16/2021
Last updated
06/24/2022
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