Provider Demographics
NPI:1477639151
Name:MILLER, DANIEL GUTHRIE (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:GUTHRIE
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6823 55TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7826
Mailing Address - Country:US
Mailing Address - Phone:206-522-7874
Mailing Address - Fax:
Practice Address - Street 1:6823 55TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7826
Practice Address - Country:US
Practice Address - Phone:206-522-7874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037890207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
4505OtherINTERNAL ID-MOTOR VEHICLE ID
WA8367831Medicaid
4505OtherINTERNAL ID-MOTOR VEHICLE ID
WA8367831Medicaid