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Individual
SAMUEL MILHAM
Active
Individual
SAMUEL MILHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MD 00010492
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 00010492
WASHINGTON STATE MEDICAL LICENSE
WA
Enumeration date
01/19/2011
Last updated
01/19/2011
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