Individual
DR. SCOTT R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3100 WILSON AVE SW, GRANDVILLE, MI 49418-1200
(616) 534-8238
(616) 534-4189
Mailing address
3100 WILSON AVE SW, GRANDVILLE, MI 49418-1200
(616) 534-8238
(616) 534-4189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4074370
—
MI
Enumeration date
01/28/2006
Last updated
12/21/2007
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