Individual
STEPHEN MICHAEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3115 SENECA TRL S, PETERSTOWN, WV 24963-5040
(304) 753-9100
(304) 753-9353
Mailing address
1322 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 753-9100
(304) 753-9353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1608
WV
208D00000X
General Practice Physician
Primary
1608
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5630144000
—
WV
Enumeration date
07/14/2006
Last updated
03/30/2026
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