Provider Demographics
NPI:1730529223
Name:MILES, VERONICA JEAN (MD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:JEAN
Last Name:MILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:INDEPENDENT EMERGENCY PHYSICIANS P.C.
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48068
Mailing Address - Country:US
Mailing Address - Phone:248-849-3137
Mailing Address - Fax:248-849-2052
Practice Address - Street 1:16001 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4818
Practice Address - Country:US
Practice Address - Phone:248-849-3137
Practice Address - Fax:248-849-2052
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301103414207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine