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Individual

JOHN J MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 E CAPITOL DR, SHOREWOOD, WI 53211-2335
(414) 962-7477
(414) 962-2420
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 962-7477
(414) 962-2420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23158
WI

Other

Enumeration date
06/14/2006
Last updated
06/12/2012
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