Individual provider · Type 1 NPI

Roberto Miller, PA-C

Medical Physician Assistant · Grant, MI

NPI number 1124159488 Active

Practice location

11 N Maple St
Grant, MI 49327-7900

Call (231) 834-0444 Map

Mailing address

520 Cobb St
Cadillac, MI 49601-2588

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004786 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1124159488

Roberto Miller, PA-C's National Provider Identifier is 1124159488, issued on Mar 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grant, MI. The record was last updated on Aug 11, 2026.