| Doctor Name: | TIMOTHY DUTCH MILLER |
| NPI Number: | 1245461011 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 1848 |
| Business Practice Address: | 1760 County Road J Saunders Medical Center Wahoo, NE - 680664152 |
| Business Phone Number: | 4024434191 |
| Business Fax Number: | 4024431440 |
| Mailing Address: | 1760 County Road J, Saunders Medical Center WAHOO |
| State: | NE |
| Postal Code: | 680664152 |
| Phone Number: | 4024434191 |
| Fax Number: | 4024431440 |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 01/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |