Miller, Michael Glenn

Miller, Michael Glenn is an individual health care provider with primary practice located at 515 28Th St #101, Des Moines IA 50312-5259. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Miller, Michael Glenn can be contacted via phone (515) 282-6067.

Contact Information

Primary practice address
515 28Th St #101 Des Moines IA 50312-5259
Phone: (515) 282-6067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 316 Iowa

Profile Details

NPI number 1659351658
LBN Legal business name Miller, Michael Glenn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1659351658 NPPES
Iowa MEDICAID 0070078

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