MEDICARE: ANNE M MILLER D.O.

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
1	2084P0800X	Psychiatry Physician	34006621M	OH

General Provider Information

NPI Number	:	1871557769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE M MILLER D.O.

Provider Business Mailing Address
First Line	:	245 W ELMWOOD DR
Second Line	:	SUITE 105
City	:	DAYTON
State	:	OH
Zip	:	45459-4259
Country	:	US
Telephone Number	:	937-432-0766
Fax Number	:	937-432-0768

Provider Business Practice Location Address
First Line	:	245 W ELMWOOD DR
Second Line	:	SUITE 105
City	:	DAYTON
State	:	OH
Zip	:	45459-4259
Country	:	US
Telephone Number	:	937-432-0766
Fax Number	:	937-432-0768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	07/08/2007

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