Individual provider · Type 1 NPI

Mark Miller, DO

Emergency Medical Services (Emergency Medicine) Physician · Grand Rapids, MI

NPI number 1447245501 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Call (800) 968-6866 Map

Mailing address

PO Box Q
Grand Rapids, MI 49501-4917

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X5101010914 (MI)
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X010914 (MI)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1447245501

Mark Miller, DO's National Provider Identifier is 1447245501, issued on Sep 14, 2005. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Grand Rapids, MI. The record was last updated on May 1, 2009.