Provider Demographics
NPI:1871557769
Name:MILLER, ANNE M (DO)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:245 W ELMWOOD DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4259
Mailing Address - Country:US
Mailing Address - Phone:937-432-0766
Mailing Address - Fax:937-432-0768
Practice Address - Street 1:245 W ELMWOOD DR
Practice Address - Street 2:SUITE 105
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4259
Practice Address - Country:US
Practice Address - Phone:937-432-0766
Practice Address - Fax:937-432-0768
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34006621M2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHG13656Medicare UPIN