Individual provider · Type 1 NPI

Michael Gene Miller, OD

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1447742630 Active

Practice location

940 Belmont St
Brockton, MA 02301-5596

Call (508) 583-4500 Map

Mailing address

506 Beacon St Apt 12
Boston, MA 02215-2347

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447742630

Michael Gene Miller, OD's National Provider Identifier is 1447742630, issued on Jun 4, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Jun 4, 2018.