Individual
DR. EDWARD C MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 527-8728
Mailing address
7071 S 13TH ST, STE 104, OAK CREEK, WI 53154-1466
(414) 570-7106
(414) 570-7136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26586-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30648600
—
WI
Enumeration date
06/03/2006
Last updated
07/08/2007
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