Provider Demographics
NPI:1225099518
Name:MILLER, NORMAND (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAND
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:224 MAIN ST
Mailing Address - Street 2:SUITE 1-D
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3174
Mailing Address - Country:US
Mailing Address - Phone:603-898-3461
Mailing Address - Fax:603-898-3364
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:SUITE 1-D
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3174
Practice Address - Country:US
Practice Address - Phone:603-898-3461
Practice Address - Fax:603-898-3364
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2010-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH123492086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G77026Medicare UPIN