Female

Tricia R. Miller MD

Full Name

Tricia R Miller MD

NPI Number

1033226618

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/23/2006

Specialties

(Taxonomies)

Code

207R00000X
208000000X

Primary Taxonomy

No
No

Licenses

State

Michigan

License Number

4301074445

Contact
Information

Purpose

Mailing
Location

Address

437 NORTH 120TH AVE
437 NORTH 120TH AVE

City

Holland
Holland

State

MI
MI

Postal Code

49424
49424

Country

US
US

Telephone Number

(616) 738-0737
(616) 738-0737

Identifiers

Identifier

4529541

Identifier State

MI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address