Individual
MR. WILLIAM MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27526 DUPREE ST, ROMULUS, MI 48174-9516
(734) 795-6396
Mailing address
27526 DUPREE ST, ROMULUS, MI 48174-9516
(734) 795-6396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2909203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2909203
—
MI
Enumeration date
01/15/2015
Last updated
01/26/2015
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