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NPI Code Detail

MEDICARE: DR. DANA GRBIC MILLER MD

MEDICARE: DR. DANA GRBIC MILLER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD.200378LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DG5948OTHERLARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689691586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA GRBIC MILLER MD
Provider Business Mailing Address
First Line : 143 SHANNON RD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-3510
Country : US
Telephone Number : 337-281-0007
Fax Number :
Provider Business Practice Location Address
First Line : 3149 AMBASSADOR CAFFERY PKWY
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-7209
Country : US
Telephone Number : 337-261-0734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 07/21/2022

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Directions to “ DR. DANA GRBIC MILLER MD” Practice Location

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