Miller, Mark Daniel
Miller, Mark Daniel is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-4699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Miller, Mark Daniel can be contacted via phone (309) 624-9844.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-4699
Phone: (309) 624-9844
Fax: (309) 655-4147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 036.143809 | Illinois |
Profile Details
| NPI number | 1528359106 |
|---|---|
| LBN Legal business name | Miller, Mark Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2011 |
| Last updated | Mar 22nd, 2018 - about 6 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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