Individual
BLAKE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 MARCELL DR NE STE C, ROCKFORD, MI 49341-1362
(616) 884-0003
Mailing address
120 MARCELL DR NE STE C, ROCKFORD, MI 49341-1362
(616) 884-0003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101017873
MI
Other
Enumeration date
07/08/2008
Last updated
03/27/2025
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