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NPI Code Detail

MEDICARE: SUSAN MILLER MD

MEDICARE: SUSAN MILLER MD
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
1207Q00000XFamily Medicine PhysicianMD17331RI
2207Q00000XFamily Medicine Physician286470MA
3208M00000XHospitalist PhysicianMD21583ME
4207Q00000XFamily Medicine PhysicianEC151076ME
5208M00000XHospitalist PhysicianMD17331RI

General Provider Information

NPI Number : 1033590591
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MILLER MD
Provider Business Mailing Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-4618
Fax Number :
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-4618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2015
Last Update Date : 06/01/2026

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Directions to “ SUSAN MILLER MD” Practice Location

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