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Individual

TAMARA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7784
Mailing address
130 TOWN CENTER DR STE 203, BEAUMONT PHYSICIAN PARTNERS PAYOR ENROLLMENT, TROY, MI 48084-1744

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704195195
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922076256
MI
01
430F364420
BCBSM
MI
Enumeration date
03/11/2006
Last updated
02/09/2017
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