Individual
ROBERT L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3331 W DEYOUNG ST, STE 109, MARION, IL 62959-5896
(618) 998-7239
(618) 998-7248
Mailing address
3331 W DEYOUNG ST, STE 109, MARION, IL 62959-5896
(618) 998-7239
(618) 998-7248
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-085262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085262
—
IL
Enumeration date
06/30/2006
Last updated
01/06/2009
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