Miller, Justin R

Miller, Justin R is an individual health care provider with primary practice located at 600 Health Park Blvd Suite D, Grand Blanc MI 48439-2558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Miller, Justin R can be contacted via phone (810) 603-8400.

Contact Information

Primary practice address
600 Health Park Blvd Suite D Grand Blanc MI 48439-2558
Phone: (810) 603-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 5101014510 Michigan

Profile Details

NPI number 1104879493
LBN Legal business name Miller, Justin R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 4th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104879493 NPPES
Michigan Other P00317317 RR MEDICARE
Michigan MEDICAID 4871363 RR MEDICARE

Popular Providers