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NPI Code Detail

MEDICARE: REESE MICHAEL MILLER

MEDICARE: REESE MICHAEL MILLER
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207L00000XAnesthesiology Physician01100239AIN

General Provider Information

NPI Number : 1578212924
Entity Type Code : Individual
Provider Name (Legal Business Name) : REESE MICHAEL MILLER
Provider Business Mailing Address
First Line : PO BOX 3276
Second Line :
City : EVANSVILLE
State : IN
Zip : 47731-3276
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1130 W MICHIGAN STREET
Second Line : FESLER HALL 204
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 317-274-0275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 06/08/2026

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Directions to “ REESE MICHAEL MILLER ” Practice Location

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