MARK MILLER

FORT WAYNE, IN
NPI1508511551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: IN  30002505a)
Enumeration Date2022-02-18
Last Update Date2022-02-18
Business Address
MARK MILLER
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
MARK MILLER
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431