person
Dr. Ethan Miller, MD
Student in an Organized Health Care Education/Training Program in Offutt Afb, Nebraska
NPI 1669048476

Ethan Miller is a Student in an Organized Health Care Education/Training Program based in Bellevue, NE. Ethan Miller practices in Offutt Afb, NE and has the professional credentials of MD. The NPI Number for Ethan Miller is 1669048476 and holds a License No. 35451 (Nebraska).

The current practice location address for Ethan Miller is 2501 Capehart Rd # Ne68113, Offutt Afb, NE and can be reached out via phone at 402-232-2273.

Location: 2501 Capehart Rd # Ne68113, Offutt Afb, NE, 68123
person
Provider Profile Details
NPI Number
1669048476
Provider Name
Ethan Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2501 Capehart Rd # Ne68113, Offutt Afb, NE, 68123
Phone Number
402-232-2273
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2501 Capehart Rd # Ne68113
City
State
Zip
68113-1043
Phone Number
402-232-2273
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Capehart Rd # Ne68113
City
State
Zip
68113-1043
Phone Number
402-232-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
35451 (Nebraska)
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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