Individual
MICHELLE D MILLER
Active
Individual
MICHELLE D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062652A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01062652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200894810
—
IN
01
—
P01197282
RR MEDICARE PTAN
IN
01
—
P01212110
RR MEDICARE PTAN
IN
Enumeration date
09/26/2006
Last updated
08/19/2024
Update your record
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