Individual
ROBERT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
Mailing address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006600
MI
Other
Enumeration date
02/19/2013
Last updated
04/09/2013
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