Individual
MR. IVAN A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2641
(330) 489-1000
Mailing address
546 2ND DR NE, NEW PHILADELPHIA, OH 44663-2787
(330) 401-6045
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
023236
OH
Other
Enumeration date
07/19/2018
Last updated
12/11/2022
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