Individual
BRETT ALLEN MILKEVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-5800
(219) 836-3048
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
041374538
IL
363LF0000X
Family Nurse Practitioner
209014299
IL
363LF0000X
Family Nurse Practitioner
28274402A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400323118
MEDICARE PTAN FRANCISCAN PHYSICIAN NETWORK
—
Enumeration date
05/19/2016
Last updated
10/12/2023
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