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Organization

JEFFREY W MILLER DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY WAYNE MILLER D.O. (PRESIDENT)
(260) 569-2131
Entity
Organization

Contact information

Practice address
400 ASH ST, WABASH, IN 46992-1954
(260) 569-2131
(236) 569-2134
Mailing address
400 ASH ST, WABASH, IN 46992-1954
(260) 569-2131
(236) 569-2134

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02001695
IN

Other

Enumeration date
11/17/2010
Last updated
11/17/2010
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