Individual
DR. MICHAEL JAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8254 MAYFIELD RD, CHESTERLAND, OH 44026-2593
(440) 729-9000
(440) 729-0519
Mailing address
8254 MAYFIELD RD, CHESTERLAND, OH 44026-2593
(440) 729-9000
(440) 729-0519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35052202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028951
ANTHEM
OH
05
—
0714374
—
OH
Enumeration date
08/16/2005
Last updated
06/21/2010
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