MEDICARE: DR. MICHAEL B 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	01079652A	IN
2	207RP1001X	Pulmonary Disease Physician	01079652A	IN
3	207RP1001X	Pulmonary Disease Physician	0101235273	VA
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	0101235273	VA
5	208M00000X	Hospitalist Physician	01079652A	IN
6	207RP1001X	Pulmonary Disease Physician	C3449	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	197379	OTHER	VA	ANTHEM-RICHMOND
3	197380	OTHER	VA	ANTHEM-COLONIAL HEIGHTS
4	197381	OTHER	VA	ANTHEM-MECHANICSVILLE

General Provider Information

NPI Number	:	1225003593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL B MILLER MD

Provider Business Mailing Address
First Line	:	PO BOX 781076
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48278-1076
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:	317-865-1479

Provider Business Practice Location Address
First Line	:	3500 FRANCISCAN WAY
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-0021
Country	:	US
Telephone Number	:	219-879-8511
Fax Number	:	219-933-2288

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	01/31/2025

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Directions to “ DR. MICHAEL B MILLER MD” Practice Location

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