Provider Demographics
NPI:1841297256
Name:MILLER, JAMES A (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:MILLER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1397 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-5360
Mailing Address - Country:US
Mailing Address - Phone:734-243-3420
Mailing Address - Fax:734-457-4570
Practice Address - Street 1:1397 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-5360
Practice Address - Country:US
Practice Address - Phone:734-243-3420
Practice Address - Fax:734-457-4570
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2020-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIJM007649207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4332457Medicaid
MI4332457Medicaid
MIE26123Medicare UPIN