BLAKE MILLER

GRAND RAPIDS, MI
NPI1952564130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MI  5101017873)
Enumeration Date2008-07-08
Last Update Date2021-12-28
Business Address
BLAKE MILLER DO
260 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4597
Phone number: 616-685-2663
Mailing Address
BLAKE MILLER DO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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