Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35065767 | OH |
NPI | 1033118765 |
---|---|
Provider Name | Dr. Rodney A Miller |
First Address | Wooster, OH 44691-7130 |
Second Address | Millersburg, OH 44654-1568 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 12/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0621287 | (05) | OH |
G45910 | (02) |