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Individual

CRAIG CAMERON MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
5320 MILITARY RD, STE 104, LEWISTON, NY 14092-2149
(716) 205-8324
(716) 205-8593
Mailing address
5320 MILITARY RD STE 104, LEWISTON, NY 14092-2149
(716) 205-8324
(716) 205-8593

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
211871
NY
207ND0101X
MOHS-Micrographic Surgery Physician
211871
NY
207NS0135X
Procedural Dermatology Physician
211871
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01981268
NY
Enumeration date
11/10/2005
Last updated
07/02/2013
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