David L Miller in Macomb - Internal Medicine

David L Miller - NPI 1861497612

David L Miller is a Internal Medicine in Macomb, Illinois. David L Miller practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David L Miller is 1861497612. The last update date is 2011-11-10.

David L Miller's current location address is 505 E Grant St, Macomb, Illinois. You can contact this provider via phone number 3098333536 and fax number 3098365729. The mailing address for David L Miller is 505 E Grant St, Macomb, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David L Miller
Address 505 E Grant St, Macomb, Illinois
Phone Number 3098333536
Fax Number 3098365729
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1861497612
Provider Enumeration Date 2005-06-17
Last Updated Date 2011-11-10

Provider Mailing Address Detail

Address 505 E Grant St
City Macomb
State Illinois (IL)
Post Code 6145533520
Phone Number 3098333536
Fax Number 3098365729

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36104354
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36104354 IL --
110247080 IL RAILROAD MEDICARE
5532005 IL BLUE CROSS/BLUE SHIELD
67033 IL HEALTH ALLIANCE

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FAQs about David L Miller

What is the David L Miller's 1861497612?

The David L Miller's NPI (National Provider Identifier) Number is 1861497612. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of David L Miller?

The David L Miller is physically situated at 505 E Grant St, in the city of Macomb, state of IL, with the postal code 6145533520.

What is the David L Miller's specialty and taxonomy code?

The David L Miller's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the David L Miller receive its 1861497612 assignment from the Centers for Medicare & Medicaid Services?

The David L Miller was assigned its 1861497612 by the Centers for Medicare & Medicaid Services on 2005-06-17.

As of what date were the details related to David L Miller most recently updated or revised?

The information pertaining to David L Miller, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-10.

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