| Doctor Name: | DR. SANDRA GALE MILLER |
| NPI Number: | 1437183803 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP |
| License Number: | 4704110285 |
| Business Practice Address: | 47818 Van Dyke Ave Shelby Twp, MI - 483173373 |
| Business Phone Number: | 5863233620 |
| Business Fax Number: | 5863233568 |
| Mailing Address: | 8611 Frederick Dr, WASHINGTON |
| State: | MI |
| Postal Code: | 480942961 |
| Phone Number: | 5867867519 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 4704110285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |