Individual
BERNARD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17330 NORTHLAND PARK CT, SUITE 203A, SOUTHFIELD, MI 48075-4318
(248) 552-5453
(248) 552-5404
Mailing address
17330 NORTHLAND PARK CT, SUITE 203A, SOUTHFIELD, MI 48075-4318
(248) 552-5453
(248) 552-5404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002435
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942704259
—
MI
Enumeration date
01/22/2007
Last updated
09/18/2012
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