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Individual

MICHAEL MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5240
Mailing address
4417 WINDING CREEK RD, MANLIUS, NY 13104-8347
(631) 702-5584

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
287245
NY

Other

Enumeration date
05/16/2012
Last updated
05/17/2021
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