Individual
MR. MICHAEL WAYNE MILLER
Active
Individual
MR. MICHAEL WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5010
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7725454
AETNA
AZ
01
—
AZ0401980
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/01/2005
Last updated
08/01/2012
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