Individual
MARK ANTHONY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1307 WOODSTREAM AVE, BRYAN, OH 43506-9493
(419) 553-7400
Mailing address
1307 WOODSTREAM AVE, BRYAN, OH 43506-9493
(419) 553-7400
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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