Individual
MILIE FANG
Active
Individual
MILIE FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
02008988A
IN
207N00000X
Dermatology Physician
DO.OP.61660584
WA
207N00000X
Dermatology Physician
PG215976
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300130475
—
IN
Enumeration date
05/27/2020
Last updated
05/28/2026
Update your record
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