Individual
MICHAEL EUGENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
222 WEST 6TH ST, CONCORDIA, KS 66901
(785) 243-3386
(785) 243-4640
Mailing address
PO BOX 529, CONCORDIA, KS 66901-0529
(785) 243-3386
(785) 243-4640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS10273
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100910404
—
KS
Enumeration date
09/24/2006
Last updated
03/18/2008
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