Individual provider · Type 1 NPI

Matthew David Miller, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1609141902 Active

Practice location

275 Michigan St NE
Grand Rapids, MI 49503-2531

Call (616) 267-8700 Map

Fax (616) 267-8247

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601006321 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1609141902

Matthew David Miller, PA-C's National Provider Identifier is 1609141902, issued on Mar 20, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 27, 2025.