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NPI Code Detail

MEDICARE: DR. MICHAEL MILLER M.D.

MEDICARE:  DR. MICHAEL  MILLER  M.D.
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
1207RC0000XCardiovascular Disease PhysicianMD476270PA

Other Identifiers

General Provider Information

NPI Number : 1235178559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL MILLER M.D.
Provider Business Mailing Address
First Line : 3400 SPRUCE STREET
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4206
Country : US
Telephone Number : 215-662-7355
Fax Number : 215-349-8444
Provider Business Practice Location Address
First Line : 3400 SPRUCE STREET
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4206
Country : US
Telephone Number : 215-662-7355
Fax Number : 215-349-8444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 02/02/2026

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