National Provider Identifier

Michael Brandon Miller, M.D.

Michael Brandon Miller, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamson, NY and a listed phone number of (315) 483-3220.

NPI 1942334388Williamson, NYFamily Medicine Physician

Profile Overview

NPI
1942334388
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
March 16, 2007
Last Updated
May 13, 2009

Practice Location

  • 4425 Old Ridge RD
  • Williamson, NY 14589-9363

Phone: (315) 483-3220

Mailing Address

  • 28 Hidden Harbor Way
  • Webster, NY 14580-1887

Specialties

  • Family Medicine Physician (207Q00000X)
  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1942334388
Entity Type
Individual
Last Name
Miller
First Name
Michael
Middle Name
Brandon
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
28 Hidden Harbor Way
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-1887
Mailing Country
US
Mailing Phone
(585) 698-6505
Practice Street Address
4425 Old Ridge RD
Practice City
Williamson
Practice State
NY
Practice ZIP Code
14589-9363
Practice Country
US
Practice Phone
(315) 483-3220
Enumeration Date
March 16, 2007
Last Updated
May 13, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
Other Identifiers
02893814 (NY)