person
Brent John Miller, NP
Family Nurse Practitioner in Fremont, Michigan
NPI 1962414235

Brent John Miller is a Family Nurse Practitioner based in Chicago, MI and is specialized in Family. Brent John Miller practices in Fremont, MI and has the professional credentials of NP. The NPI Number for Brent John Miller is 1962414235 and holds a License No. 4704186025 (Michigan).

The current practice location address for Brent John Miller is 212 S Sullivan, Fremont, MI and can be reached out via phone at 231-924-1300.

Location: 212 S Sullivan, Fremont, MI, 60689-0001
person
Provider Profile Details
NPI Number
1962414235
Provider Name
Brent John Miller
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
212 S Sullivan, Fremont, MI, 60689-0001
Phone Number
231-924-1300
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500027220 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
212 S Sullivan
City
State
Zip
49412
Phone Number
231-924-1300
Fax Number
person
Provider Business Mailing Address Details
Address
212 S Sullivan
City
State
Zip
49412
Phone Number
231-924-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704186025 (Michigan)
Definition
Definition to come...
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