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Individual
MR. JEFFREY G. MILLER
Active
Individual
MR. JEFFREY G. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
541
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457440919
—
WI
05
—
39405100
—
WI
01
—
S47871
UPIN NUMBER
WI
Enumeration date
10/12/2006
Last updated
10/17/2012
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