Search › Michigan › 1041C0700X
Derrick Miller
NPI 1265964209 · on the registry since 2017 · sole proprietor
Practice
- Address
- 31408 Harper Ave # 142
Saint Clair Shores, MI 48082 - Phone
- (313) 618-9762
Additional practice sites
- 42815 Garfield Rd Ste 201, Clinton Township, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan