Stephen R Miller | Troy, MI • PECOS Search

Stephen R Miller

Family Medicine

Allopathic & Osteopathic Physicians

1172 Kirts Blvd, Troy, MI 48084-4846

PECOS Enrollment

Based on the most recent information from CMS, provider Stephen R Miller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1629277579
Provider Type
Individual
Full Name
Miller, Stephen R
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/12/2007
Last Updated
7/12/2007

Contact Information

Practice Location

1172 Kirts Blvd, Troy, MI 48084-4846

(248) 244-9131

Mailing Location

1172 Kirts Blvd, Troy, MI 48084-4846

(248) 244-9131

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 5101006529 Michigan