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Individual
DR. RYAN L MILLER
Active
Individual
DR. RYAN L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4183-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38965200
—
WI
01
—
38987000
MEDICAID GROUP
WI
Enumeration date
09/20/2006
Last updated
11/22/2019
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