Healthcare Provider Details

I. General information

NPI: 1245159367
Provider Name (Legal Business Name): LIA WU MILLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 E SHERMAN BLVD STE 2400
MUSKEGON MI
49444-1886
US

IV. Provider business mailing address

10225 FINKBEINER RD
MIDDLEVILLE MI
49333-9748
US

V. Phone/Fax

Practice location:
  • Phone: 231-672-4243
  • Fax:
Mailing address:
  • Phone: 269-908-6153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number5601014148
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: