| Doctor Name: | THOMAS LEE MILLER |
| NPI Number: | 1326048802 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 200185720A |
| Business Practice Address: | 1500 W Maumee St Angola, IN - 467038605 |
| Business Phone Number: | 2606658494 |
| Business Fax Number: | 2606685690 |
| Mailing Address: | 1500 W Maumee St, ANGOLA |
| State: | IN |
| Postal Code: | 467038605 |
| Phone Number: | 2606658494 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2005 |
| NPI Last Update Date: | 03/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 200185720A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |