| Michael Glen Miller, MD | |
|
3021 Griffin Ave, Enumclaw, WA 98022-2369 | |
| (360) 802-5580 | |
| (360) 825-6536 |
| Full Name | Michael Glen Miller |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3021 Griffin Ave, Enumclaw, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164419685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301407172 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD 60287490 (Washington) | Primary |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Glen Miller, MD 3021 Griffin Ave, Enumclaw, WA 98022-2369 Ph: (360) 802-5580 | Michael Glen Miller, MD 3021 Griffin Ave, Enumclaw, WA 98022-2369 Ph: (360) 802-5580 |
Dr. David H Bishop, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2820 Griffin Ave Ste 210, Enumclaw, WA 98022 Phone: 360-825-7500 Fax: 360-825-3370 | |
Dr. David Anthony Thiede Cortese, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Griffin Ave Ste 210, Enumclaw, WA 98022 Phone: 360-825-7500 Fax: 360-825-3370 | |
Richard Paul Martin, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Griffin Ave Ste 210, Enumclaw, WA 98022 Phone: 360-825-7500 Fax: 360-825-3370 |