Individual
DR. MICHAEL DAVID MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 STEPHEN DR, GOFFSTOWN, NH 03045-2176
(603) 497-2337
Mailing address
35 STEPHEN DR, GOFFSTOWN, NH 03045-2176
(603) 497-2337
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5865
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2861
HEALTHSOURCE
NH
01
—
30438600
BLUECROSS
NH
05
—
81303569
—
NH
Enumeration date
10/24/2005
Last updated
07/08/2007
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