Healthcare Provider Details

I. General information

NPI: 1124171046
Provider Name (Legal Business Name): MILLER-MEIER LIMB AND BRACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 04/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 N BLUFF BLVD STE 102
CLINTON IA
52732-7146
US

IV. Provider business mailing address

240 N BLUFF BLVD STE 102
CLINTON IA
52732-7146
US

V. Phone/Fax

Practice location:
  • Phone: 563-243-4772
  • Fax: 563-243-4782
Mailing address:
  • Phone: 563-243-4772
  • Fax: 563-243-4782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY E MILLER
Title or Position: CFO, VICE-PRESIDENT
Credential: CPO
Phone: 563-243-4772