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Individual
WILLIAM FOWLER MILLS
Active
Individual
WILLIAM FOWLER MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
246061
NY
207Q00000X
Family Medicine Physician
MA04643400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109938000
AMERIHEALTH
—
01
—
10629
AETNA/HMO
—
05
—
1168304
—
NJ
01
—
4248043
AETNA PIN
—
Enumeration date
10/03/2005
Last updated
03/24/2008
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