Miller, Roger Dean
Miller, Roger Dean is an individual health care provider with primary practice located at 2900 Bradford St Ne , Grand Rapids MI 49525-6427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miller, Roger Dean can be contacted via phone (616) 885-5000.Contact Information
Primary practice address
2900 Bradford St Ne
Grand Rapids MI 49525-6427
Phone: (616) 885-5000
Fax: (616) 913-9025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301027614 | Michigan |
Profile Details
| NPI number | 1467433730 |
|---|---|
| LBN Legal business name | Miller, Roger Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Mar 19th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467433730 | NPPES |
| Michigan | MEDICAID | 4717882 |
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