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NPI Code Detail

MEDICARE: JOHN MICHAEL MILLER DPM

MEDICARE: JOHN MICHAEL MILLER DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist07000792IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972698009
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MICHAEL MILLER DPM
Provider Business Mailing Address
First Line : 3600 W BETHEL AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-5407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6920 GATWICK DR STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-9619
Country : US
Telephone Number : 317-455-1064
Fax Number : 317-455-1204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 06/05/2026

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