Individual
EDWARD MACOMB MILLERMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-5609
(616) 267-8338
Mailing address
100 MICHIGAN STREET NE MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301066453
MI
Other
Enumeration date
08/24/2006
Last updated
08/02/2021
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