Individual
JOHN P MILLIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 CIRCLE DR, TRAVERSE CITY, MI 49684-2342
(231) 935-0525
(231) 935-0529
Mailing address
224 CIRCLE DR, TRAVERSE CITY, MI 49684-2342
(231) 935-0525
(231) 935-0529
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301 052861
MI
207RI0008X
Hepatology Physician
4301052861
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 4680183
—
MI
Enumeration date
03/09/2007
Last updated
12/23/2020
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