NPI 1003055666

Justin Michael Miller, PA

Practitioner Surgical Physician Assistant Grand Rapids, MI

Practice location

Address: 1111 Leffingwell Ave NE, Grand Rapids, MI 49525-6406
Phone: (616) 459-7101

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 5601006970 (MI)

Other Physician Assistant providers in Michigan →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-01677 (NC)

Registry record

NPI: 1003055666
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2009
Record last updated: 16 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.