Healthcare Provider Details
I. General information
NPI: 1790689305
Provider Name (Legal Business Name): MILLER & ME PRIMARY CARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8419 APPLE BLOSSOM LN
FLUSHING MI
48433-2906
US
IV. Provider business mailing address
8419 APPLE BLOSSOM LN
FLUSHING MI
48433-2906
US
V. Phone/Fax
- Phone: 586-747-7816
- Fax:
- Phone: 586-747-7816
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MORGAN
MILLER
Title or Position: OWNER
Credential: DO
Phone: 586-747-7816