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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN MICHAEL MILLER, PA

Active

JUSTIN MICHAEL MILLER, PA is a Surgical Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1003055666 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1003055666
Provider Type
Individual
Gender
Male
NPI Issued
Feb 5, 2009 (17.544964243176 yrs)
Last Updated
May 16, 2014
Licenses
0010-01677 (NC)
5601006970 (MI)

Practice Information

Address
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI, 495256406
Browse MI providers · Browse ZIP 49525
Phone
6164597101
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
DENNIS C GREGORY PAC 1093702169
MICHAEL LEE BILLS PA-C 1366439432
JOSEPH N PIGORSH PAC 1043207111
MATTHEW P RICCI PAC 1215924386
TIMOTHY J HUNTER PAC 1639166697
DAVID M KAMINSKI PAC 1164419123
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.