Individual ProviderStephen R MillerFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1172 Kirts Blvd, Troy, MI 48084-4846(248) 244-2067PECOS EnrollmentBased on the most recent information from CMS, provider Stephen R Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:18 AM.Profile DetailsProvider ID1629277579Provider TypeIndividualFull NameMiller, Stephen RTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date7/12/2007Last Updated7/12/2007Contact InformationPractice LocationPractice Address1172 Kirts Blvd, Troy, MI 48084-4846Phone(248) 244-2067Fax(248) 244-9131Mailing LocationMailing Address1172 Kirts Blvd, Troy, MI 48084-4846Phone(248) 244-2067Fax(248) 244-9131Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense5101006529Michigan