Dennis Wade Miller MD

NPI 1679721062 - Family Medicine - 207Q00000X

NPI Details
NPI 1679721062
Gender Male
Enumeration Date 08/28/2008
Last Updated 12/07/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
4150 NELSON RD
BUILDING G, SUITE 5
LAKE CHARLES LA, 70605-4148, US
Phone (337) 562-3761
Fax
Business Location
4150 NELSON RD
BUILDING G, SUITE 5
LAKE CHARLES LA, 70605-4148, US
Phone (337) 562-3761
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number MD.204746
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According to our database, Dennis Wade Miller MD NPI is 1679721062, taxonomy code is 207Q00000X and license number is MD.204746, license state is located at Louisiana. Dennis Wade Miller MD physically located at 4150 Nelson Rd, Lake Charles LA, 70605-4148. NPI Number Dennis Wade Miller MD has the Individual type.

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1679721062 NPI number is provided on an as is basis without warranty of any kind. 1679721062 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis Wade Miller MD are for informational purposes only.