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Individual
ROBERT EDWARD MILJAN III
Active
Individual
ROBERT EDWARD MILJAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004890
MI
363AS0400X
Surgical Physician Assistant
0852
NH
363AS0400X
Surgical Physician Assistant
5601004890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078175
—
NH
05
—
9000540
—
VT
Enumeration date
09/28/2006
Last updated
12/27/2018
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