Miller, Gregory Lance

Miller, Gregory Lance is an individual health care provider with primary practice located at 1000 E Paris Ave Se Ste 200, Grand Rapids MI 49546-3691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miller, Gregory Lance can be contacted via phone (616) 949-8554.

Contact Information

Primary practice address
1000 E Paris Ave Se Ste 200 Grand Rapids MI 49546-3691
Phone: (616) 949-8554
Fax: (616) 949-6557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301064982 Michigan

Profile Details

NPI number 1306831185
LBN Legal business name Miller, Gregory Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Dec 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306831185 NPPES
Michigan MEDICAID 103155189

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