Doctor Name: | PETER R MILLER |
NPI Number: | 1326044280 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301030094 |
Business Practice Address: | 30781 Stephenson Hwy Madison Hts, MI - 480711618 |
Business Phone Number: | 2485850234 |
Business Fax Number: | 2485850234 |
Mailing Address: | 30781 Stephenson Hwy, MADISON HTS |
State: | MI |
Postal Code: | 480711618 |
Phone Number: | 2485838922 |
Fax Number: | 2485838969 |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 4301030094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |