Individual
TODD W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1270
(207) 872-1831
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1270
(207) 872-1831
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
015780
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045003
ANTHEM
ME
01
—
110231775
RAILROAD MEDICARE
—
01
—
2718870
AETNA HMO
—
05
—
288620999
—
ME
05
—
331810099
—
ME
01
—
7716319
AETNA NON HMO
—
01
—
MN5058
HARVARD PILGRIM
—
Enumeration date
05/31/2006
Last updated
11/09/2009
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