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Russell M Miller, MD
Family Medicine Physician in South Bend, Indiana
NPI 1891856886

Russell M Miller is a Family Medicine Physician based in Troy, IN. Russell M Miller practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Russell M Miller is 1891856886 and holds a License No. 036068129 (Indiana).

The current practice location address for Russell M Miller is 5838 W Brick Rd Ste 106, South Bend, IN and can be reached out via phone at 574-247-1911 and via fax at 574-247-1912.

Location: 5838 W Brick Rd Ste 106, South Bend, IN, 48099-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891856886
Provider Name
Russell M Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5838 W Brick Rd Ste 106, South Bend, IN, 48099-1239
Phone Number
574-247-1911
Fax Number
574-247-1912
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5838 W Brick Rd Ste 106
City
South Bend
State
Indiana
Zip
46628-8420
Phone Number
574-247-1911
Fax Number
574-247-1912
person
Provider Business Mailing Address Details
Address
5838 W Brick Rd Ste 106
City
South Bend
State
Indiana
Zip
46628-8420
Phone Number
574-247-1911
Fax Number
574-247-1912
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01055937A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
036068129 (Illinois)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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