Individual
TYRONE S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
519 N PONTIAC TRL, WALLED LAKE, MI 48390-3442
(248) 624-1707
(248) 624-0203
Mailing address
519 N. PONTIAC TRAIL, WALLED LAKE, MI 48390
(248) 624-1707
(248) 624-0203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003717
MI
Other
Enumeration date
12/19/2006
Last updated
08/07/2020
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