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Mr. Matthew David Miller, PA
Student in an Organized Health Care Education/Training Program in Lagro, Indiana
NPI 1447728951

Matthew David Miller is a Student in an Organized Health Care Education/Training Program based in Lagro, IN. Matthew David Miller practices in Lagro, IN and has the professional credentials of PA. The NPI Number for Matthew David Miller is 1447728951 and holds a License No. (Indiana).

The current practice location address for Matthew David Miller is 5369 E 50 S, Lagro, IN and can be reached out via phone at 260-403-1980.

Location: 5369 E 50 S, Lagro, IN, 46941-9434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447728951
Provider Name
Matthew David Miller
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5369 E 50 S, Lagro, IN, 46941-9434
Phone Number
260-403-1980
Fax Number
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5369 E 50 S
City
Lagro
State
Indiana
Zip
46941-9434
Phone Number
260-403-1980
Fax Number
person
Provider Business Mailing Address Details
Address
5369 E 50 S
City
Lagro
State
Indiana
Zip
46941-9434
Phone Number
260-403-1980
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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