Individual
RONALD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 RICHMOND AVE E, MATTOON, IL 61938-4652
(217) 234-3937
(217) 234-3930
Mailing address
220 RICHMOND AVE E, MATTOON, IL 61938-4652
(217) 234-3937
(217) 234-3930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036060611
IL
Other
Enumeration date
10/21/2005
Last updated
02/13/2012
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