Individual provider · NPI-1

Karl A Miller, D.O.

Family Medicine · Gorham, ME

NPI number1730124710
StatusActive
Last updated in NPPESJul 6, 2010

Details

NPI
1730124710
Entity type
Individual (NPI-1)
Name
Karl A Miller
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2006
Last updated
Jul 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1374MEYes

Practice location

19 S Gorham Xing
Gorham, ME 04038-2690

Phone 207-839-9101 · Fax 207-839-9201

Mailing address

144 State St
Portland, ME 04101-3776

Phone 207-879-3000

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