Search › Indiana › 183500000X
Ronald Miller
NPI 1528605292 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1125 W State Blvd
Fort Wayne, IN 46808 - Phone
- (269) 426-4487
- Fax
- (260) 424-3079
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-02
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 Indiana