Individual
MR. JEFFREY E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 E GLENDALE BLVD, STE 101, VALPARAISO, IN 46383
(219) 462-0555
(219) 548-3681
Mailing address
1101 E GLENDALE BLVD, STE 101, VALPARAISO, IN 46383
(219) 462-0555
(219) 548-3681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IN01029511
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187214
ANTHEM
IN
05
—
100209010A
—
IN
Enumeration date
05/31/2006
Last updated
05/09/2013
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