Individual provider · Type 1 NPI

Justin Michael Miller, PA

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1003055666 Active

Practice location

1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-01677 (NC)
Surgical Physician Assistant Primary 363AS0400X5601006970 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1003055666

Justin Michael Miller, PA's National Provider Identifier is 1003055666, issued on Feb 5, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Rapids, MI. The record was last updated on May 16, 2014.