Individual
CHARLES T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33803 ELECTRIC BLVD APT D21, AVON LAKE, OH 44012-1030
(216) 469-2354
Mailing address
33803 ELECTRIC BLVD APT D21, AVON LAKE, OH 44012-1030
(216) 469-2354
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
449770
OH
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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