Individual
DR. HEIDI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4352 MANCHESTER AVE., SAINT LOUIS, MO 63110-2138
(314) 531-5444
(314) 531-0063
Mailing address
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110-2138
(314) 531-5444
(314) 531-0063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20010117155
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209122621
—
MO
05
—
209172605
—
MO
01
—
905440581
CPIN
MO
Enumeration date
11/30/2005
Last updated
06/30/2014
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