Mark Daniel Miller, M.D. Valid NPI

Individual provider · Pediatric Endocrinology Physician · Peoria, IL

NPI

1528359106

Type

Individual (Type 1)

Primary specialty

Pediatric Endocrinology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0205X

License number

036.143809 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2011-04-29

Last updated

2018-03-22