Male or Other

Mr. Vincent Miller

Peer Specialist in Kalamazoo, MI(View on Map)

Full Name

Mr. Vincent Miller

NPI Number

1215473863

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/06/2017

Specialties

(Taxonomies)

Code

175T00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

M-00079

Contact
Information

Purpose

Mailing
Location

Address

1910 SHAFFER ST
1910 SHAFFER ST

City

Kalamazoo
Kalamazoo

State

MI
MI

Postal Code

49048-1604
49048-1604

Country

US
US

Telephone Number

(269) 382-9820
(269) 382-9820

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

Data last updated by provider on 01/06/2017

Provider Address

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